Lisa Edelmann, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

EDELL2 Issued in NY

Practice address

1428 Madison Ave FL 2
New York, NY 10029-6508

Phone

(800) 298-6470

NPI assigned

Aug 9, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Sema4 Opco, Inc

  • Clinical Medical Laboratory
  • Branford, CT
  • NPI 1518415991
  NPD (past)
• Sema4 Opco, Inc.

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1265196471
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1144709205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LUDLOW ST STE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026991",
            "telephone_number": "475-333-3623",
            "fax_number": "475-333-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MADISON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "800-298-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064052894",
            "country_code": "US",
            "telephone_number": "800-298-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELMANN",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "EDELL2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie B Edelman, MD
• Rachel Maxx Edelman, D.M.D
• Rose Edelman
• Sarah Edelman, LMHC
• Zachary Edelman, PA-C
• Edelorbe LLC
• Mara Jayne Edelson-Siskin, M.S.CCC-SLP
• Kenneth L Edelson, M.D.
• Mia Edelson
• Steven David Edelson, DDS

• Clinical Laboratory Director (Non-physician) in New York, NY
• Providers in New York, NY by specialty
• Clinical Laboratory Director (Non-physician) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.