OLITSA ROTH M.D. NPI 1669402061

NPI Information

  • NPI: 1669402061
  • Provider Name: OLITSA ROTH, M.D.,
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • CLIA Number: 33D0146454
  • Address: 5211 15-TH AVE
    BROOKLYN, NY
    ZIP 11219
  • Phone: (718) 851-7444

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NPI Details

Olitsa Roth, M.D., is an adolescent medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Olitsa Roth, M.D., NPI is 1669402061. 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:

5211 15-TH AVE
BROOKLYN, NY
ZIP 11219-908
Phone: (718) 851-7444
Fax: (718) 851-9594

The CLIA number assigned to this NPI record is 33D0146454 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 11/14/2012.

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
12080A0000XPediatricsAdolescent Medicine148687NEW YORKYes

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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