Lisa Marie Gambino, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

151742 Issued in NY

Practice address

23 Ontario Street
Honeoye Valley Family Practice
Honeoye Falls, NY 14472

Phone

(585) 624-2121

NPI assigned

May 23, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Quiet Mind Therapy Services, LCSW, PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1629568381
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1184679888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURNCOAT WAY",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342216",
            "telephone_number": "585-389-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ONTARIO STREET",
            "address_2": "HONEOYE VALLEY FAMILY PRACTICE",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "14472",
            "telephone_number": "585-624-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "151742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Fisk
• Four Corners Optometry, PC
• Steven F French, LCSW-R
• Jennifer Marie Frese, M.D.
• Marcela Sabina Gabrys
• Jacinta Anne Gardner, RN MSN ACNP
• Susan S Gay, RN BSN
• Thomas E. Gift, M.D.
• Gregory B Lowenguth
• Max Alexander Hartnett

• Family Medicine Physician in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.

Verify at the official NPI Registry.