Alexandra Jade Roth

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

162 Court St
Brooklyn, NY 11201-6445

Phone

(215) 964-8034

NPI assigned

Jan 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1346830395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 HIMROD ST APT 2R",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851479",
            "telephone_number": "215-964-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016445",
            "telephone_number": "215-964-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ALEXANDRA",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Laya Rotenberg, LMHC
• Ahuva Rotenstein
• Aaron Roth, DPT
• Adam Samuel Roth, MD
• Alexander Roth
• Alia Roth
• Allan Roth, MD
• Angela Sue Roth
• Anna Fay Roth, MD
• Ariella Roth

• Art Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.