MELISSA JEAN ROTH NPI 1457014250

NPI Information

  • NPI: 1457014250
  • Provider Name: MELISSA JEAN ROTH
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1363 VETERANS HWY
    HAUPPAUGE, NY
    ZIP 11788
  • Phone: (631) 366-3876

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NPI Details

Melissa Jean Roth is a specialist in Hauppauge, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Melissa Jean Roth NPI is 1457014250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1363 VETERANS HWY
HAUPPAUGE, NY
ZIP 11788-046
Phone: (631) 366-3876

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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