NPIMap

Organization Active NPI

Lisa Rose Durso, MD PLLC

  • Preferred Provider Organization
  • New York, NY
National Provider Identifier
1215441423
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LISA ROSE DURSO, MD PLLC
Doing business as
Lisa Rose Durso, MD PLLC
Practice address
30 E 60TH St
808
New York, NY 10022-1008
Phone
(646) 828-5756
Fax
(844) 742-8378
NPI assigned
Nov 27, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Giacinta Vitiello
Title
Administrative Assistant
Phone
(646) 828-5756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NY Primary

Addresses

Primary practice location

30 E 60TH St
808
New York, NY 10022-1008

Mailing address

30 E 60TH St
808
New York, NY 10022-1008

Other identifiers 2

IdentifierTypeStateIssuer
1457479123OtherNPI
201203OtherNYINTERNAL MEDICINE

Other names 1

  • Lisa Rose Durso, MD PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1215441423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "address_2": "808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "address_2": "808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008",
            "telephone_number": "646-828-5756",
            "fax_number": "844-742-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ROSE DURSO, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VITIELLO",
        "authorized_official_first_name": "GIACINTA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "646-828-5756",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457479123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "201203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Rose Durso, MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.