MEDICARE: JUDITH G ROTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	XOO4297	NY

General Provider Information

NPI Number	:	1538145644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH G ROTH

Provider Business Mailing Address
First Line	:	164 BLACKHEATH RD
Second Line	:
City	:	LIDO BEACH
State	:	NY
Zip	:	11561-4840
Country	:	US
Telephone Number	:	516-431-2636
Fax Number	:	516-432-5841

Provider Business Practice Location Address
First Line	:	164 BLACKHEATH RD
Second Line	:
City	:	LIDO BEACH
State	:	NY
Zip	:	11561-4840
Country	:	US
Telephone Number	:	516-431-2636
Fax Number	:	516-432-5841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	05/20/2008

Similar Medicare Providers

1275531543 — DR. GREGG LOWELL FRIEDMAN MD
Practice Location Address:

2500 EAST HALLANDALE BEACH BLVD , SUITE 702
HALLANDALE BEACH, FL
33009-4840

Practice Phone: 954-456-1996
Practice Fax:

1053329599 — DR. DEBORAH LANE GHANDOUR PA-C, DHSC
Practice Location Address:

1825 3RD ST N STE B
JACKSONVILLE BEACH, FL
32250-4840

Practice Phone: 904-595-5826
Practice Fax: 904-595-5827

1174769681 — KAREN ANN FRINZI RNFA
Practice Location Address:

1412 NOTTINGHAM RD
NEWPORT BEACH, CA
92660-4840

Practice Phone: 949-764-9315
Practice Fax: 949-650-1078

1336424944 — ASHLEE COMEAU MS
Practice Location Address:

8728 WOODGROVE HARBOR LN
BOYNTON BEACH, FL
33473-4840

Practice Phone: 561-656-1006
Practice Fax: 561-656-1006

1073885125 — ANTONELLA MARTINO PHARM.D.
Practice Location Address:

8720 WOODGROVE HARBOR LN
BOYNTON BEACH, FL
33473-4840

Practice Phone: 954-650-2147
Practice Fax:

1952707408 — DR. CARLING FRANCES MCMICHAEL D.C.
Practice Location Address:

6324 E PACIFIC COAST HWY , SUITE C
LONG BEACH, CA
90803-4840

Practice Phone: 562-354-6886
Practice Fax:

Directions to “ JUDITH G ROTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.