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

Nitzan Roth, MD

Individual provider Transplant Hepatology Physician · NPI 1407127111

Nitzan Roth, MD is a Gastroenterology in Manhasset, New York. Graduated from University of Southern California Keck School of Medicine in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Trained at
University of Southern California Keck School of Medicine
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Community Dr
Manhasset, NY 11030-3815
Phone: (516) 562-4664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N State St, Los Angeles, CA 90033-1029 — (323) 226-7556

Specialties & licences

Transplant Hepatology Physician (primary) Taxonomy 207RT0003X · Licence 295088 (NY)

Record details

NPI number1407127111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 26, 2012
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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