LP Roberts MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LP ROBERTS MD PC

Practice address

302 Manor Rd
Staten Island, NY 10314-2408

Phone

(718) 815-1000

Fax

(718) 815-8122

NPI assigned

Oct 25, 2012

Organization subpart

Yes

Parent organization

LP ROBERTS MD PCAs reported in NPPES

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

Authorized official

Name

Larry Roberts, M.D.

Title

Ceo

Phone

(718) 815-1000

Specialties & licenses 1

Addresses

Other names 1

• UROLOGY SURGERY CENTER OF NEW ROCHELLE Other name

Part of

LP Roberts MD PC

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1992058119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "STE 3-2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ROBERTS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP ROBERTS MD PC",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-815-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY SURGERY CENTER OF NEW ROCHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jayakrishna Loya, CRNA
• Jacqueline Loza
• Mamdouh Lozah, MD
• Olga Lozovetskaya, M.S.ED
• Oksana Lozynska
• LR Medical PLLC
• Jacob Tiange Lu, MD
• Lingxin Lu, PT, DPT
• Ya-Tseng William Lu, MD
• Kristy Dyann Lubak, PA

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.