Individual provider Active NPI

Lisa Rothman

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1477588838
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005671 Issued in NY
Practice address
658 E 233Rd St
Bronx, NY 10466-2802
Phone
(718) 798-9411
Fax
(718) 798-9409
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005671 NY Primary

Addresses

Primary practice location

658 E 233Rd St
Bronx, NY 10466-2802

Mailing address

658 E 233Rd St
Bronx, NY 10466-2802
Phone (718) 798-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401001571 NY Practitioner - Podiatry 3577476548 Reassigns benefits to 1 organization
I20040517000468 CT Practitioner - Podiatry 3577476548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Family Foot Center LLCGroup PAC ID 3779882352, 2 clinicians

Practice addresses (Care Compare)

Chappaqua, NY 10514
Phone (917) 553-4952

1261 Berlin Tpke
Berlin, CT 06037-3228
Phone (860) 632-1721

614 Scofieldtown Rd
Stamford, CT 06903-2805
Phone (860) 632-1721

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2050
Removal or shaving of skin growth272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000736CTMDCounselor
N005671NYMDPodiatrist
736CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Podiatry Group PC Podiatrist Past Accepting new patients
Stamford Podiatry Group PC Podiatrist PastSince Aug 7, 1991 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1477588838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662802",
            "telephone_number": "718-798-9411",
            "fax_number": "718-798-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662802",
            "telephone_number": "718-798-9411",
            "fax_number": "718-798-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.