Lisa Marie Masciadrelli, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

271641 Issued in NY

Practice address

28 Ravine Ave
2ND Floor
Glen Cove, NY 11542-2733

Phone

(516) 996-1260

Fax

(516) 584-2536

NPI assigned

Mar 14, 2008

Last updated

Mar 14, 2008By the provider in NPPES

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

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1467623785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RAVINE AVE",
            "address_2": "2ND FLOOR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422733",
            "telephone_number": "516-996-1260",
            "fax_number": "516-584-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RAVINE AVE",
            "address_2": "2ND FLOOR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422733",
            "telephone_number": "516-996-1260",
            "fax_number": "516-584-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIADRELLI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "271641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Danielle Marinos, PSYD
• Rosa Marrazzo, LCSW
• Steven Paul Marsala, P.A.
• Bruce W Martin, FNP
• Natalya K Martinez-Machado, DO
• Vincent A Masciello, PT, DPT
• Keith A Mayo, MD
• Vincent Joseph Mazzilli, D.C.
• Mara Alexis McCrossin, NP
• Jamilah Kimaya McKenzie, OTD,OTR/L

• Licensed Practical Nurse in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.