Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Marie Rotelli, DO

Individual provider Pediatrics Physician · NPI 1215953229

Dr. Lisa Marie Rotelli, DO is a Pediatric Medicine in Johnstown, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1999, 27 years ago. Licensed in Alabama and New York.

Years since qualifying
27
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AL, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

110 Decker Dr Ste 100
Johnstown, NY 12095-2157
Phone: (518) 762-6731
Fax: (518) 762-7135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 229169 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence DO-901 (AL)
General Practice Physician Taxonomy 208D00000X · Licence 229169 (NY)

Record details

NPI number1215953229
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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