Ediserlin Lora Liz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2814 W 8TH St Apt 15C
Brooklyn, NY 11224-3368

Phone

(347) 543-7367

NPI assigned

Nov 19, 2019

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEJCCD/Endpoint/IEJCCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Josef Schenker MD PC

  dba Centers Urgent Care

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment
• Upper East Side Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1831323872
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1316583974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 5TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118000",
            "telephone_number": "212-988-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W 8TH ST APT 15C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243368",
            "telephone_number": "347-543-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA LIZ",
        "first_name": "EDISERLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "942333124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirlande Loppe-Gregoire, LPN
• Erwen E Loppe, RN, BSN
• Nicholas Lopresto, DO
• Lor Medical PC
• Karen Lora Cabrera
• Eric Erody Lora
• Juliana Lora
• Rosa Enilda Lora, M.D
• Stephanie Lora
• Beverly Lorber

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.