Individual provider Active NPI

Lisa Robin Rothman, M.D.

  • Procedural Dermatology Physician
  • New York, NY
National Provider Identifier
1831538644
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
292394 Issued in NY
Practice address
550 1St Ave
New York, NY 10016
Phone
(212) 263-5800
NPI assigned
Jun 14, 2013
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 292394 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

550 1St Ave
New York, NY 10016

Mailing address

64 W 83Rd St
Apt. 4
New York, NY 10024-5226

Other names 1

  • Dr. Lisa Robin Rothman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180907000665 NY Practitioner - Dermatology 9638429939 Reassigns benefits to 2 organizations
I20210510001601 NJ Practitioner - Dermatology 9638429939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper West Side Dermatology PCGroup PAC ID 7517052012, 6 clinicians

Practice addresses (Care Compare)

277 W End Ave
Apt 1B
New York, NY 10023-2605
Phone (212) 769-0069

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions185
Skin biopsy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292394NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Dec 17, 2023 Accepting new patients
New York University CurrentSince Sep 24, 2018 Accepting new patients
New York University CurrentSince Sep 24, 2018 Accepting new patients
Upper West Side Dermatology, P.C. CurrentSince Mar 1, 2024 Accepting new patients
Associates in Dermatology and Cosmetic Surgery the Millburn Laser Cent CurrentSince Jun 1, 2021 Accepting new patients

Locations

140 Sylvan Ave
Ste 302
Englewood Cliffs, NJ 07632
Phone (201) 568-8400

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

12 E Willow St
Millburn, NJ 07041
Phone (973) 376-8500

277 W End Ave
Apt 1B
New York, NY 10023
Phone (212) 769-0069

330 W 58th St
Ste 407
New York, NY 10019
Phone (212) 765-6470

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: lrothman@navaderm.emadirect.md
  • Direct secure messaging: lrothman@upperwestside.emadirect.md
  • Direct secure messaging: lrothman681988@nychhc.direct-ci.com
  • Direct secure messaging: lrothman91303@nyumc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1831538644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W 83RD ST",
            "address_2": "APT. 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "LISA",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "292394",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROTHMAN",
            "middle_name": "ROBIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.