Organization Active NPI

Lisa

  • Home Health Agency
  • Nanuet, NY
National Provider Identifier
1174073696
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22-487787 Issued in NY
Legal business name
LISA
Practice address
4 Olin Dr
Nanuet, NY 10954-4522
Phone
(646) 271-7796
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Lisa Montalvo
Title
RN
Phone
(646) 271-7796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22-487787 NY Primary

Addresses

Primary practice location

4 Olin Dr
Nanuet, NY 10954-4522

Mailing address

4 Olin Dr
Nanuet, NY 10954-4522
Phone (646) 271-7796

Other names 1

  • Montalvo Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1174073696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLIN DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109544522",
            "telephone_number": "646-271-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OLIN DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109544522",
            "telephone_number": "646-271-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "646-271-7796"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "22-487787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montalvo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.