Individual provider Active NPI

Lisa Vislocky, PHD, RDN, CDN

  • Registered Dietitian
  • Staten Island, NY
National Provider Identifier
1225948581
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NYS007609-01 Issued in NY
Practice address
399 Naughton Ave
Staten Island, NY 10305-2225
Phone
(860) 268-7824
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NYS007609-01 NY Primary

Addresses

Primary practice location

399 Naughton Ave
Staten Island, NY 10305-2225

Mailing address

399 Naughton Ave
Staten Island, NY 10305-2225
Phone (860) 268-7824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1225948581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 NAUGHTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052225",
            "telephone_number": "860-268-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NAUGHTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052225",
            "telephone_number": "860-268-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISLOCKY",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "NYS007609-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.