Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitry Roth

Individual provider Specialist · NPI 1649123936

Dmitry Roth is a Specialist in Ellenville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

979 Ulster Heights Rd
Ellenville, NY 12428-5746
Phone: (718) 300-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1961059251 (NY)

Record details

NPI number1649123936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address979 Ulster Heights Rd, Ellenville, NY 12428-5746

Other providers in Ellenville