Active NPI
Lisa Romard, PNP.
- Pediatric Nurse Practitioner
- Stony Brook, NY
National Provider Identifier
1174566079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381249
- Practice address
- Stony Brook Childrens Hospital
T-11, RM 080
Stony Brook, NY 11794-8111 - Phone
- (631) 444-8340
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F381249 | NY | Primary |
Addresses
Primary practice location
Stony Brook Childrens Hospital
T-11, RM 080
Stony Brook, NY 11794-8111
Mailing address
101 Nicolls Rd
Stony Brook, NY 11794-8111
Phone (631) 444-8340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93N781 | Other | NY | EMPIRE BC.BS |
| 02049907 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- lisa.romard@direct.stonybrookmedicine.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1174566079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-8340",
"fax_number": "631-444-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK CHILDRENS HOSPITAL",
"address_2": "T-11, RM 080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMARD",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "PNP.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "93N781",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02049907",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.