Individual provider Active NPI

Lisa Caren Roth, M.D.

  • Allergy & Immunology Physician
  • Lynbrook, NY
National Provider Identifier
1730116807
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
189734 Issued in NY
Practice address
10 Union Ave
Suite11A&B
Lynbrook, NY 11563-3397
Phone
(516) 599-6910
Fax
(516) 612-3402
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 189734 NY Primary

Addresses

Primary practice location

10 Union Ave
Suite11A&B
Lynbrook, NY 11563-3397

Mailing address

10 Union Ave
Suite 11a&B
Lynbrook, NY 11563-3397
Phone (516) 599-6910

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
I20070112000532 NY Practitioner - Allergy/Immunology 2668472796 Reassigns benefits to 3 organizations
Practice locations: Lynbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

13420 Jamaica Ave
FL 1
Jamaica, NY 11418-2619
Phone (718) 206-6742

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Allergy & Immunology CurrentSince Jan 1, 2016 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Jamaica Hospital CurrentSince Mar 23, 2020 Accepting new patients
Jamaica Hospital CurrentSince Mar 23, 2020 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580

13420 Jamaica Ave
Fl 1
Richmond Hill, NY 11418
Phone (718) 206-6742

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

Interoperability endpoints

  • Direct secure messaging: lroth45020@direct.medisys.org

Organizations & group practices 6

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 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1730116807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNION AVE",
            "address_2": "SUITE 11A&B",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633397",
            "telephone_number": "516-599-6910",
            "fax_number": "516-612-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION AVE",
            "address_2": "SUITE11A&B",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633397",
            "telephone_number": "516-599-6910",
            "fax_number": "516-612-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LISA",
        "middle_name": "CAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "189734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.