Lisa Jahrsdoerfer, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310938 Issued in NY

Practice address

172 E Main St
Huntington, NY 11743

Phone

(631) 385-0022

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Balveen Singh MD PLLC

  • Cardiovascular Disease Physician
  • Huntington, NY
  • NPI 1477986297
  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1033834619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-385-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHRSDOERFER",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi B Jaburek, OPHTHALMIC DISPENSER
• Diana Jacob, RPH
• Caren Jacobs, LCSW
• Ralph Jacobsen, M.D.
• Meredith B Jaffe, DDS
• Lucia Jamaluddin, LCSW
• James P. Gurtowski, M.D., P.C.
• James Ramos Ortiz DMD PC
• Donna Jankowski, PTA
• Liat J Jarkon, D.O.

• Adult Health Nurse Practitioner in Huntington, NY
• Providers in Huntington, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.