Individual provider Active NPI

Roberta Lenner, MD

  • Pulmonary Disease Physician
  • Bronx, NY
National Provider Identifier
1700827565
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
203-435 Issued in NY
Practice address
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone
(718) 584-9000
Fax
(718) 741-4458
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 203435 NY
Pulmonary Disease Physician 207RP1001X 203-435 NY Primary

Addresses

Primary practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Mailing address

29 Vanderbilt Dr
Great Neck, NY 11020-1116
Phone (516) 482-2048

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
I20110103000517 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638367865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203-435NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Dec 29, 2018 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

560 Sunrise Hwy
West Islip, NY 11795

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

Interoperability endpoints

  • Direct secure messaging: nybg.robertalenner@136202.advancedmd-direct.com

Organizations & group practices 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1700827565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 VANDERBILT DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201116",
            "telephone_number": "516-482-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000",
            "fax_number": "718-741-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNER",
        "first_name": "ROBERTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "203435",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "203-435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.