Roberta Isaacson Lutz

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3892 Keily Dr
Seaford, NY 11783-2004

Phone

(516) 781-2239

NPI assigned

Apr 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roberta Marion Isaacson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235472580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3892 KEILY DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832004",
            "telephone_number": "516-781-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3892 KEILY DR",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832004",
            "telephone_number": "516-781-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ROBERTA",
        "middle_name": "ISAACSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "ISAACSON",
            "middle_name": "MARION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Matthew Loscalzo, PA
• Laura Losco, MS, PA-C
• Louis and Jane Magenheimer CSWS, PLLC
• Chelsea Lufrano
• Tina Luisi
• Alyssa Lyman
• Sarah M Lynas-Koenig, M.S.P.T.
• Annmarie Lynch
• Millicent Lohrand Lynch
• Jane Magenheimer, LCSW

• Specialist in Seaford, NY
• Providers in Seaford, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.