Judith G Roth, is a
Chiropractor - Nutrition based in Lido Beach, New York. Judith G Roth is licensed to practice in New York (license number XOO4297) and her current practice location is
164 Blackheath Rd, Lido Beach, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 431-2636.
NPI number for Judith G Roth is 1538145644 and her current mailing address is 164 Blackheath Rd, Lido Beach, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538145644.
Healthcare Provider's Profile
| Full Name | Judith G Roth |
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| Gender | Female |
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| Speciality | Chiropractor - Nutrition |
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| Location | 164 Blackheath Rd, Lido Beach, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538145644
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 05/20/2008
Medical Identifiers
Medical identifiers for Judith G Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538145644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NN1001X | Chiropractor - Nutrition | XOO4297 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith G Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Judith G Roth,
164 Blackheath Rd,
Lido Beach, NY 11561-4840
Ph: (516) 431-2636 | Judith G Roth,
164 Blackheath Rd,
Lido Beach, NY 11561-4840
Ph: (516) 431-2636 |
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