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DR. LISA ROTH MD
NPI 1376704742
Pediatrics - Pediatric Hematology-Oncology in New York, NY

Active since June 19, 2008PECOS Enrolled
1275 YORK AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10065(212) 639-5966 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lisa Roth Md NPPES

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

DR. LISA ROTH MD (NPI 1376704742) is an individual pediatric hematology-oncology provider in New York, New York, licensed in New York (241297) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376704742
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. LISA ROTHCredential: MD
Location Address1275 YORK AVE, DEPARTMENT OF PEDIATRICSNew York, NY 10065-6007
Mailing Address1275 York Ave, Department Of PediatricsNew York, NY 10065-6007
Phone(212) 639-5966
Sole ProprietorNo
Enumeration DateJune 19, 2008
Last NPPES UpdateJune 11, 2014
✔ NPI 1376704742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NY · 241297
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
1275 YORK AVE, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Roth 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 Reassignment

Medicare enrollment records show Lisa Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,041 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

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.

MRS. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Lisa Roth's NPI number?

The NPI number for Lisa Roth is 1376704742. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Lisa Roth located?

Lisa Roth practices at 1275 York Ave Department Of Pediatrics, New York, NY 10065. The listed phone number is (212) 639-5966.

What is Lisa Roth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Lisa Roth enrolled in Medicare?

Yes. Lisa Roth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Roth reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Lisa Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Roth was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.