DR. LISA CAREN ROTH (NPI# 1730116807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730116807 |
| Entity Type | Individual |
| Full Name | DR. LISA CAREN ROTH |
| Credential | M.D. |
| Practice Address |
10 Union Ave Suite11a&b Lynbrook NY 11563-3397 |
| Mailing Address |
10 Union Ave Suite 11a&b Lynbrook NY 11563-3397 |
| Practice Telephone | 5165996910 |
| Practice Fax Number | 5166123402 |
| Mailing Telephone | 5165996910 |
| Mailing Fax Number | 5166123402 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 189734 | 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 |
| 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 |
| 1376704742 | Lisa Roth | Pediatrics | 1275 York Ave, Department of Pediatrics, New York, NY 10065-6007 | 2008-06-19 |
| 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 |
10 UNION AVE SUITE11A&B |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811100951 | Tracy L Cohen | Social Worker | 10 Union Ave, Tracy Cohen Cswr Suite #9, Lynbrook, NY 11563 | 2007-05-07 |
| 1093931792 | Home Comfort Medical Equipment Ltd | Durable Medical Equipment & Medical Supplies | 10 Union Ave, Lynbrook, NY 11563-3397 | 2007-04-18 |
| 1619000924 | Ellen Merri Brenner | Social Worker | 10 Union Ave, Lynbrook, NY 11563-3397 | 2007-03-14 |
| 1013059310 | Laurence Marc Abelove | Clinical Neuropsychologist | 10 Union Ave, Ste. 3, Lynbrook, NY 11563-3397 | 2007-02-13 |
| 1699860940 | Susan Elise Antelis | Counselor | 10 Union Ave, Suite # 5, Lynbrook, NY 11563-3397 | 2006-10-03 |
| 1902909344 | Kathleen Mary Monaghan | Counselor | 10 Union Ave, Lynbrook, NY 11563 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
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| 1225669559 | Reenal Patel Md PC | Allergy & Immunology | 10-17 Jackson Avenue, Long Island City, NY 11101-5986 | 2020-01-27 |
| 1801447388 | Akl Medical PC | Allergy & Immunology | 2626 W State St Ste 205, Olean, NY 14760-1858 | 2019-09-25 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1932618923 | Sheila W Hankin | Allergy & Immunology | 200 S Broadway Ste 104, Tarrytown, NY 10591-4504 | 2017-09-22 |
| 1235653007 | Marc Braunstein Md Pllc | Allergy & Immunology | 540 Green Pl, Woodmere, NY 11598-1923 | 2017-08-02 |
| 1194119305 | Roshini Mullakary | Allergy & Immunology | 1600 Harrison Ave Ste 304, Mamaroneck, NY 10543-3151 | 2015-03-25 |
| 1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
| 1659786440 | Robert Tamayev | Allergy & Immunology | 7949 Myrtle Ave, Glendale, NY 11385-7451 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
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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.