DR. LAUREN ROTHE MD
NPI 1013478809
Pediatrics in Newark, NJ

Active since March 26, 2019PECOS Enrolled
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lauren Rothe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREN ROTHE MD (NPI 1013478809) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MA11532100) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013478809
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LAUREN ROTHECredential: MD
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address121 Sun Valley WayMorris Plains, NJ 07950-2017 · (973) 420-2337
Sole ProprietorYes
Enumeration DateMarch 26, 2019
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1013478809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA11532100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
201 LYONS AVE, Newark, NJ 07112

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lauren Rothe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lauren Rothe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Rothe's NPI number?

The NPI number for Lauren Rothe is 1013478809. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Lauren Rothe located?

Lauren Rothe practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is Lauren Rothe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lauren Rothe enrolled in Medicare?

Yes. Lauren Rothe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lauren Rothe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Rothe reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Rothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Rothe accept?

Health plans from Oscar Health list Lauren Rothe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Rothe was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.