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

Q: 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.

Q: What is Lisa Roth's specialty?

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

Q: 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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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.

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