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

Kelli Roth

Individual provider Family Nurse Practitioner · NPI 1023898244

Kelli Roth is a Nurse Practitioner in Long Island City, New York. Graduated from New York University School of Medicine in 2023, 3 years ago. Practices with Century Medical and Dental Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1041 47th Ave
Long Island City, NY 11101-5416
Phone: (212) 385-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352922 (NY)

Record details

NPI number1023898244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Century Medical And Dental Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Long Island City