What is Dmitry Roth's NPI number?

Dmitry Roth's National Provider Identifier (NPI) is 1649123936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dmitry Roth's specialty?

Dmitry Roth is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Dmitry Roth located?

Dmitry Roth's practice location on file with NPPES is 979 Ulster Heights Rd, Ellenville, NY 12428-5746.

What is Dmitry Roth's phone number?

The practice phone number listed in the NPPES registry for Dmitry Roth is (718) 300-0600.

Is Dmitry Roth's NPI active?

Yes — Dmitry Roth's NPI (1649123936) is active in the NPPES registry as of the last update on 2026-02-17.

IndividualActive

Dmitry Roth

NPI 1649123936 · Specialist · Ellenville, NY

Dmitry Roth is a Specialist provider in Ellenville, NY (NPI 1649123936).

Provider details

NPI number: 1649123936
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 1961059251 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 1961059251 (NY)
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

979 Ulster Heights Rd

Ellenville, NY 12428-5746

Phone: (718) 300-0600

Street-level locationGet directions

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Mailing address