Individual provider Active NPI

Lisa Stefanie Moccio, NP

  • Adult Health Nurse Practitioner
  • Scarsdale, NY
National Provider Identifier
1467579243
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302852-1 Issued in NY
Practice address
680 White Plains Rd
Scarsdale, NY 10583-5042
Phone
(888) 663-6331
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302852-1 NY Primary

Addresses

Primary practice location

680 White Plains Rd
Scarsdale, NY 10583-5042

Mailing address

680 White Plains Rd
Scarsdale, NY 10583-5042
Phone (888) 663-6331

Other practice location 1

30 W Main St
Mount Kisco, NY 10549-1910
Phone (914) 666-3272

Other identifiers 1

IdentifierTypeStateIssuer
02919166MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007001613 NY Practitioner - Nurse Practitioner 8729464169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

465 Columbus Ave
Valhalla, NY 10595-1336

91 Smith Ave
Mount Kisco, NY 10549-2810
Phone (914) 241-9030

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F302852-1NYMDAdult Health Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Aug 18, 2025 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Aug 18, 2025 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

465 Columbus Ave
Fl 3
Valhalla, NY 10595
Phone (914) 241-4976

Networks

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

Interoperability endpoints

  • Direct secure messaging: lmoccio384388@northwell.direct-ci.com
  • Direct secure messaging: lisa.mocciomd.p1@direct.westchesterhealth.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1467579243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WHITE PLAINS RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835042",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WHITE PLAINS RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835042",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 W Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105491910",
            "country_code": "US",
            "telephone_number": "914-666-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCCIO",
        "first_name": "LISA",
        "middle_name": "STEFANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302852-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02919166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.