Individual provider Active NPI

Lizabeth Nolan, MD

  • Pediatrics Physician
  • Harrison, NY
National Provider Identifier
1427230200
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
238407 Issued in NY
Practice address
600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone
(914) 723-8100
Fax
(914) 219-1928
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57048 CT
Pediatrics Physician 208000000X 238407 NY Primary

Addresses

Primary practice location

600 Mamaroneck Ave
Harrison, NY 10528-1635

Mailing address

600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone (914) 723-8100

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
I20140506000332 NY Practitioner - Pediatric Medicine 7719110360 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57048CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince May 6, 2022 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince May 6, 2022 Accepting new patients

Locations

600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone 9147238100116

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

150 White Plains Rd
Ste 101
Tarrytown, NY 10591
Phone (914) 332-4141

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1427230200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281635",
            "telephone_number": "914-723-8100",
            "fax_number": "914-219-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281635",
            "telephone_number": "914-723-8100",
            "fax_number": "914-219-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "LIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "57048",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "238407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.