Lisa Ann Straus, M.D.
Individual provider Active NPI Family Medicine Physician · Amenia, NY
NPI 1124030069 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1124030069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 181394 (NY)
- Practice address
- 3360 Route 343
Hudson River Healthcare, Inc.
Amenia, NY 12501-5619 - Phone
- (845) 373-9006
- Fax
- (845) 373-7021
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 181394 | NY | Yes |
Addresses
Primary practice location
3360 Route 343
Hudson River Healthcare, Inc.
Amenia, NY 12501-5619
Mailing address
1037 Main St
Credentialing Dept
Peekskill, NY 10566-2913
Phone (914) 734-8858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01515728 | Medicaid | NY |
Other providers in Amenia, NY
- Northeast CSD
- Lori Passante
- Planned Parenthood of the Mid-Hudson Valley
- Stacey Joy Reilly
- Christine Mary Sergent
- Jordan Stroly
- Derik E Stucker
- Sun River Health Inc
- Rachel Perlmutter Tantri
- Karen Elizabeth Thompson
All providers in Amenia, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.