Lisa E Jones-Koliski, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

507861 Issued in NY

Practice address

262 N Titmus Dr
Mastic, NY 11950-1522

Phone

(631) 399-6969

NPI assigned

Apr 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1396188223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N TITMUS DR",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501522",
            "telephone_number": "631-399-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 N TITMUS DR",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501522",
            "telephone_number": "631-399-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-KOLISKI",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "507861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Matthew Hustick, LMSW
• Mohammad Iqbal
• Kay Lyn Jackson, LPN
• Suzzanna Javed
• Sonja W. Jensen, LPN
• Samantha Nicole Kappenmacher, LCSW
• Katherine Merchant
• Veronica Katsaros
• Christopher Keibel, PTA
• Krystle Lee Kenyon, M.S.E.D

• Wound Care Registered Nurse in Mastic, NY
• Providers in Mastic, NY by specialty
• Wound Care Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.