Individual provider Active NPI

Lisa Ribons

  • Diagnostic Radiology Physician
  • Latham, NY
National Provider Identifier
1053495861
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
201133 Issued in NY
Practice address
6 Wellness Way Ste G06
Latham, NY 12110-2135
Phone
(518) 786-1600
Fax
(518) 786-1606
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 201133 NY Primary
Pediatric Radiology Physician 2085P0229X 201133 NY

Addresses

Primary practice location

6 Wellness Way Ste G06
Latham, NY 12110-2135

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
01608584MedicaidNY

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
I20060224000342 NY Practitioner - Diagnostic Radiology 3971519141 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201133NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Jan 7, 2019 Accepting new patients
Albany Medical College CurrentSince Dec 3, 2017 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Community Care Physicians, PLLC Diagnostic Radiology CurrentSince Sep 10, 2009 Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Pediatric Radiology CurrentSince Dec 3, 2017 Accepting new patients
Albany Medical Center Hospital Pediatric Radiology CurrentSince Jan 1, 1999 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Community Care Physicians, PC Diagnostic Radiology PastSince May 12, 2024 Accepting new patients
Albany Medical Center South Clinical Campus Pediatric Radiology Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

25 Hackett Blvd
#201
Albany, NY 12208
Phone (518) 262-1244

47 New Scotland Ave
#180
Albany, NY 12208
Phone (518) 262-5076

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

711 Troy Schenectady Rd
Ste 201
Latham, NY 12110

6 Wellness Way
Ste G06
Latham, NY 12110
Phone (518) 782-1600

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 114
Latham, NY 12110
Phone (518) 783-7070

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: lribons28799@albanymed.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1053495861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE G06",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102135",
            "telephone_number": "518-786-1600",
            "fax_number": "518-786-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBONS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "201133",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NY",
            "license": "201133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.