Lori Ann Attivissimo, M.D., F.A.C.P.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

186961 Issued in NY

Practice address

99 Sunnyside Blvd
Woodbury, NY 11797-2901

Phone

(516) 832-7100

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1275619694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CHESTNUT LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971918",
            "telephone_number": "516-353-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972901",
            "telephone_number": "516-832-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIVISSIMO",
        "first_name": "LORI ANN",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "186961",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "186961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Buglino DO PLLC
• Arch Dental of Huntington PC
• Arch Dental of Woodbury, PC
• Kristin Arevalo, ASSOCIATES DEGREE
• Yulia Aronovich, M.D.
• Nicole Attivissimo, COTA
• Emad Samy Awadallah
• Jeanine Baldassarri, MA CCC-SLP
• Ashley Asalle Baratian
• Tamer Barsom

• Hospice and Palliative Medicine (Internal Medicine) Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.