Individual provider Active NPI

Lawrence Robert Sirota, DO

  • Plastic Surgery Physician
  • Albertson, NY
National Provider Identifier
1215021340
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
203715-1 Issued in NY
Practice address
936 Willis Ave
Albertson, NY 11507-1928
Phone
(516) 791-3150
Fax
(516) 791-3913
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 203715-1 NY Primary

Addresses

Primary practice location

936 Willis Ave
Albertson, NY 11507-1928

Mailing address

936 Willis Ave
Albertson, NY 11507-1928
Phone (516) 791-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000308 NY Practitioner - Plastic and Reconstructive Surgery 5092604421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

936 Willis Ave
Albertson, NY 11507-1928
Phone (516) 791-3150

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision18
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203715-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Sirota Rozenberg DO,PC CurrentSince Jun 1, 2016 Accepting new patients
Sheldon Med-Surge PC Past Accepting new patients

Locations

11 Irving Pl
Woodmere, NY 11598
Phone (516) 295-5570

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1215021340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071928",
            "telephone_number": "516-791-3150",
            "fax_number": "516-791-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071928",
            "telephone_number": "516-791-3150",
            "fax_number": "516-791-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTA",
        "first_name": "LAWRENCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "203715-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

Verify at the official NPI Registry.