Nataliia Lysa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12541 Issued in CT

Practice address

39 Webster Square Rd
Berlin, CT 06037-2326

Phone

(860) 828-3933

NPI assigned

Jul 29, 2019

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nataliia Zaskotska Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment
• Advanced Dental of New England LLC

  • Prosthodontics
  • Berlin, CT
  • NPI 1831219021
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1154975068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 GEORGE ST APT 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115371",
            "telephone_number": "203-214-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEBSTER SQUARE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-828-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112982",
            "country_code": "US",
            "telephone_number": "312-926-5992",
            "fax_number": "312-695-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYSA",
        "first_name": "NATALIIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12541",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019036322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIIA",
            "last_name": "ZASKOTSKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marisa Lindsey, LCSW
• Michelle E Lipka, RD
• Matteo Joseph Lopreiato, M.D.
• LR Psychotherapy Wellness LLC
• Chelsea Ann Luddy, PHARM.D.
• Rebecca Margaret Macary
• Perry Makris, RPH
• Wesia Meriam Malik
• Hallie Elizabeth Mancini
• Jonathan Maneen, DPT

• Dentist in Berlin, CT
• Providers in Berlin, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.