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

Judith G Roth

Individual provider Nutrition Chiropractor · NPI 1538145644

Judith G Roth is a Nutrition Chiropractor in Lido Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

164 Blackheath Rd
Lido Beach, NY 11561-4840
Phone: (516) 431-2636
Fax: (516) 432-5841
Show map & directions

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

Specialties & licences

Nutrition Chiropractor (primary) Taxonomy 111NN1001X · Licence XOO4297 (NY)

Record details

NPI number1538145644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2005
Last updated in NPPESMay 20, 2008
Mailing address164 Blackheath Rd, Lido Beach, NY 11561-4840