Active NPI
Arup Kumar Roy, M.D.
- Internal Medicine Physician
- Lebanon, PA
National Provider Identifier
1093884066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA69569
- Practice address
- 1700 S Lincoln Ave
Lebanon, PA 17042-7597 - Phone
- (717) 272-6621
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD068998L | PA | |
| Internal Medicine Physician | 207R00000X | 25MA69569 | NJ | Primary |
Addresses
Primary practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7597
Mailing address
20 Pavilion Rd
Voorhees, NJ 08043-4159
Phone (856) 489-8378
Other practice location 1
301 Spring Garden Road
Ancora State Psychiatric Hospital
Ancora, NJ 08037
Phone (609) 561-1700 ext. 8406
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03179C2B | Other | NJ | MEDICARE BILLING NO. |
| 1093884066 | Other | NJ | 03179C2B |
| NA | Other | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA69569 | NJ | MD | Internal Medicine Physician |
| MD068998L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1093884066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PAVILION RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434159",
"telephone_number": "856-489-8378",
"fax_number": "856-489-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S LINCOLN AVE",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427597",
"telephone_number": "717-272-6621"
}
],
"practiceLocations": [
{
"address_1": "301 Spring Garden Road",
"address_2": "Ancora State Psychiatric Hospital",
"address_purpose": "LOCATION",
"city": "Ancora",
"state": "NJ",
"postal_code": "08037",
"country_code": "US",
"telephone_number": "609-561-1700 x8406",
"fax_number": "609-567-7292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "ARUP",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD068998L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA69569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BILLING NO.",
"identifier": "03179C2B",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "03179C2B",
"identifier": "1093884066",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.