DR. LISA ROTH (NPI# 1376704742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376704742 |
| Entity Type | Individual |
| Full Name | DR. LISA ROTH |
| Credential | MD |
| Practice Address |
1275 York Ave Department of Pediatrics New York NY 10065-6007 |
| Practice Telephone | 2126395966 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
241297 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1730116807 | Lisa Caren Roth | Allergy & Immunology | 10 Union Ave, Suite11a&b, Lynbrook, NY 11563-3397 | 2006-06-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1083133235 | Lisa Hughes Roth | Dietitian, Registered | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-09-19 |
| 1295254522 | Lisa Carolyn Roth | Counselor | 101 E Broadway Ave, Bismarck, ND 58501-3840 | 2017-09-19 |
| 1336501857 | Lisa Sharon Roth | Psychologist | 399 Laurel St, Suite 5, San Francisco, CA 94118-1951 | 2016-03-23 |
| 1679986715 | Lisa Anne Roth | Pediatrics | 3401 Civic Center Blvd Rm 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2014-06-06 |
| 1780823245 | Lisa Bettina Roth | Social Worker | 40 Park Ln, Highland, NY 12528 | 2009-02-06 |
| 1871762609 | Lisa Michelle Roth | Specialist/Technologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-02-26 |
| 1558576561 | Lisa M Roth | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-12 |
| Street Address |
1275 YORK AVE DEPARTMENT OF PEDIATRICS |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742789 | Jean Marie Torrisi | Radiology | 1275 York Ave, New York, NY 10021-6007 | 2005-06-30 |
| 1992306856 | Brittany Kenney | Registered Nurse | 1275 York Ave, New York, NY 10065-6007 | 2020-11-05 |
| 1952901084 | Catherine Andrea Kobza | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-10-28 |
| 1174122659 | Katarina Vucetic | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2020-10-26 |
| 1952918203 | Joao Vicente Machado Horvat | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2020-09-29 |
| 1215544572 | Natally De Souza Maciel Rocha Horvat | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2020-09-29 |
| 1922615665 | Warren Benjamin Fingrut | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2020-09-27 |
| 1053928747 | Nadezhda Solovyeva | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-26 |
| 1013523315 | Kayra Diaz | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-22 |
| 1093320020 | Julienne Szabo | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2020-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669818084 | Gabriel Andrew Robbins | Pediatrics | 160 E. 32nd Street, Medical Floor, New York, NY 10016 | 2013-05-13 |
| 1568750461 | Dominder Kaur | Pediatrics | 161 Ft Washingtn Ave # Ip-7, New York, NY 10032-3729 | 2011-07-13 |
| 1073786182 | Staci D. Arnold | Pediatrics | 3959 Broadway # Chn1003n, New York, NY 10032-1559 | 2008-04-09 |
| 1275581506 | Maria Luisa Sulis | Pediatrics | 1275 York Ave # H-1407, New York, NY 10065-6007 | 2006-05-05 |
| 1437123247 | Linda Granowetter | Pediatrics | 160 East 32nd Street, Hassenfeld Center L3, New York, NY 10016 | 2006-02-16 |
| 1104814813 | David Hart | Pediatrics | 874 Broadway, Apt. 601, New York, NY 10003-1222 | 2005-10-07 |
| 1306830534 | Elizabeth Raetz | Pediatrics | 160 E 32nd St, 2nd Floor, New York, NY 10016-6004 | 2005-09-02 |
| 1982698106 | Francine Blei | Pediatrics | 240 E 64th St Fl 7, Lenox Hill Nshs Vascular Anomalies Program, New York, NY 10065-7480 | 2005-09-02 |
| 1902466949 | Jaap-jan Boelens | Pediatrics | 1275 York Ave, New York, NY 10065-6007 | 2019-06-20 |
| 1508228628 | Alexandre Guilherme Troullioud Lucas | Pediatrics | 1275 York Ave, New York, NY 10065-6007 | 2016-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.