Lidia Lidagoster, MEDICAL DOCTOR

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

198681 Issued in NY

Practice address

175 Memorial Hwy Ste LL7
New Rochelle, NY 10801-5642

Phone

(212) 707-8662

Fax

(212) 582-0888

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74 of 100Reported as individual

Quality

90

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Advanced Psychiatric Perspectives, PLLC

  • Psychiatry Physician
  • New Rochelle, NY
  • NPI 1649368382
  Medicare reassignment NPD Authorized official
• App Health Group, Inc

  • Multi-Specialty Clinic/Center
  • New Rochelle, NY
  • NPI 1508330507
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114903465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY STE LL7",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015642",
            "telephone_number": "212-707-8662",
            "fax_number": "212-582-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY STE LL7",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015642",
            "telephone_number": "212-707-8662",
            "fax_number": "212-582-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Riverdale Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104712141",
            "country_code": "US",
            "telephone_number": "212-707-8662",
            "fax_number": "212-582-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDAGOSTER",
        "first_name": "LIDIA",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "NY",
            "license": "198681",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "198681",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "198681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01619630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexington Center for Recovery
• Lexington Center for Recovery, Incorporated
• Angeline M. Li, M.D.
• Jeremy Liang, OD
• Liberty Physician Partners PC
• Nekendra Liddie
• Carl Marc Lieberman, M.D.
• Lori Lieman, OTR/L
• Life Chiropractic P.C.
• Lorraine Lifumbe, RN

• Psychiatry Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.