Individual provider Active NPI

Lisa Cori Fishman, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1366485963
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211070 Issued in NY
Practice address
1165 Park Ave Ste 1a
New York, NY 10128-1248
Phone
(646) 215-9995
Fax
(646) 215-9999
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211070 NY Primary

Addresses

Primary practice location

1165 Park Ave Ste 1a
New York, NY 10128-1248

Mailing address

1165 Park Ave Ste 1a
New York, NY 10128-1248
Phone (646) 215-9995

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041012001531 NY Practitioner - Internal Medicine 0840250056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1165 Park Ave
Suite 1a
New York, NY 10128-1248
Phone (646) 215-9995

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Medical Professionals CurrentSince Oct 1, 2003 Accepting new patients
Lisa C Fishman MD PLLC Internal Medicine CurrentSince Jul 8, 2017 Accepting new patients

Locations

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

Interoperability endpoints

  • Direct secure messaging: lisa.fishman.1@16155.direct.athenahealth.com

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1366485963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 PARK AVE STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281248",
            "telephone_number": "646-215-9995",
            "fax_number": "646-215-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PARK AVE STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281248",
            "telephone_number": "646-215-9995",
            "fax_number": "646-215-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "LISA",
        "middle_name": "CORI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.