Lisa Michelle Choleff, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

197093 Issued in NY

Practice address

1500 Hazen St
East Elmhurst, NY 11370-1381

Phone

(347) 774-8240

NPI assigned

May 20, 2006

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

Other identifiers 1

Other names 1

• Dr. Lisa Michelle Wasserman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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.

• Queens Long Island Medical Group, P.C.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1144274309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701381",
            "telephone_number": "347-774-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701381",
            "telephone_number": "347-774-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLEFF",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786543-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WASSERMAN",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "D.O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Alice Charles, NURSE PRACTITIONER
• Helena Chea, RPH
• Tenchemi Chesangnang, FNP
• Timothy Cheung
• Ashley Morgan Chin, MS, OTR/L
• Eunah Chong, RPH
• Mohammed Chowdhury, M.D.
• Rahath Chowdhury
• Theodora Christodoulou
• Theodore Chukwu, PTA

• Family Medicine Physician in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.