Active NPI
Lisa
- Home Health Agency
- Nanuet, NY
National Provider Identifier
1174073696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22-487787
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.