Individual provider Active NPI

Emily Lisco, M.D.

  • Psychiatry Physician
  • Allentown, PA
National Provider Identifier
1306289954
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD456468 Issued in PA
Practice address
421 Chew St
Allentown, PA 18102-3406
Phone
(610) 776-4500
NPI assigned
Apr 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD456468 PA Primary

Addresses

Primary practice location

421 Chew St
Allentown, PA 18102-3406

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20181220002485 PA Practitioner - Psychiatry 9739480583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1020 Sansom St
Suite 1652
Philadelphia, PA 19107-5002
Phone (215) 955-6683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD456468PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Nov 19, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Psychiatry CurrentSince Mar 13, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 13, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1020 Sansom St
Ste 1652
Philadelphia, PA 19107
Phone (215) 955-5379

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1306289954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCO",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-14",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD456468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.