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LISA R ROBERTS
NPI 1679079008
Specialist in White Plains, NY

Active since April 04, 2018PECOS Enrolled
61 DAVIS AVE APT M, WHITE PLAINS, NY 10605(914) 482-3083 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa R Roberts NPPES

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

LISA R ROBERTS (NPI 1679079008) is an individual specialist in White Plains, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679079008
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA R ROBERTS
Location Address61 DAVIS AVE APT MWhite Plains, NY 10605-1009
Mailing Address61 Davis Ave Apt MWhite Plains, NY 10605-1009 · (914) 482-3083
Phone(914) 482-3083
Sole ProprietorNo
Enumeration DateApril 4, 2018
✔ NPI 1679079008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
61 DAVIS AVE APT M, White Plains, NY 10605
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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)

Lisa R Roberts 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.

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 Roberts's NPI number?

The NPI number for Lisa Roberts is 1679079008. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Lisa Roberts located?

Lisa Roberts practices at 61 Davis Ave Apt M, White Plains, NY 10605. The listed phone number is (914) 482-3083.

What is Lisa Roberts's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lisa Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Roberts was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.