Individual provider Active NPI

Lisa Anne Roth, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1679986715
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD293829 Issued in NY
Practice address
277 Broadway Ste 1405
New York, NY 10007-2010
Phone
(917) 719-6156
Fax
(973) 915-0210
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD293829 NY Primary

Addresses

Primary practice location

277 Broadway Ste 1405
New York, NY 10007-2010

Mailing address

277 Broadway Ste 1405
New York, NY 10007-2010
Phone (917) 719-6156

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL downtownpsychiatry.com

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD293829NYMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1679986715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BROADWAY STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072010",
            "telephone_number": "917-719-6156",
            "fax_number": "973-915-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BROADWAY STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072010",
            "telephone_number": "917-719-6156",
            "fax_number": "973-915-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "MD293829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "downtownpsychiatry.com",
            "affiliation": "N",
            "address_1": "277 Broadway Ste 1405",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100072010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.