Lisa a. Cavanaugh, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

201939-1 Issued in NY

Legal business name

LISA A. CAVANAUGH, M.D., P.C.

Doing business as

Nieghborhood Pediatrics

Practice address

77 Glenwood Rd
Glen Head, NY 11545-1221

Phone

(516) 759-1131

Fax

(516) 676-5727

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Anne Cavanaugh, M.D., F.A.A.P.

Title

Ceo / Medicial Director

Phone

(516) 759-1131

Specialties & licenses 1

Addresses

Other names 1

• Nieghborhood Pediatrics Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265461412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GLENWOOD RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451221",
            "telephone_number": "516-759-1131",
            "fax_number": "516-676-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GLENWOOD RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451221",
            "telephone_number": "516-759-1131",
            "fax_number": "516-676-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. CAVANAUGH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO / MEDICIAL DIRECTOR",
        "authorized_official_telephone_number": "516-759-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "201939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nieghborhood Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillys Fine Lingerie, Inc.
• Linda S. Lamarca, PH.D.
• Samantha Sasha Lindo, FNP
• Stewart Lipner, PHD
• Shira Leah Lippman, DDS
• Kristine Loccisano, MPS;BCBA
• Long Island Chiropractic P.C.
• Brandi Lopinto, OT
• Gail Irene Lowenstein, M.D.
• Peter Anthony Lucchese, DDS

• Pediatrics Physician in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.