Individual provider Active NPI

Lisa Marie Ricotta, RPA-C

  • Physician Assistant
  • Hamburg, NY
National Provider Identifier
1477736932
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23012323 Issued in NY
Practice address
517 Sunset Dr
Hamburg, NY 14075-4231
Phone
(716) 646-2590
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23012323 NY Primary
Medical Physician Assistant 363AM0700X PA7855 MA
Medical Physician Assistant 363AM0700X 5189 CT

Addresses

Primary practice location

517 Sunset Dr
Hamburg, NY 14075-4231

Mailing address

100 Buffalo Creek Rd
Elma, NY 14059-9024
Phone (716) 572-2227

Other practice location 1

55 Hazard Ave
Enfield, CT 06082-3826
Phone (475) 253-2599

Other practice location 2

80 Route 6 Ste 704-705
Baldwin Place, NY 10505-1026
Phone (475) 253-2599

Other practice location 3

31 Old Route 7
Brookfield, CT 06804-1711
Phone (475) 253-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080214000101 NY Practitioner - Physician Assistant 9436232410 Reassigns benefits to 4 organizations
I20201216000651 MA Practitioner - Physician Assistant 9436232410 Reassigns benefits to 1 organization
I20210108002222 CT Practitioner - Physician Assistant 9436232410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians
Urgent Care Medical of New York LLCGroup PAC ID 5890071443, 40 clinicians

Practice addresses (Care Compare)

31 Old Route 7
Brookfield, CT 06804-1711
Phone (860) 650-3848

78 Pershing Dr
Derby, CT 06418-1433
Phone (860) 650-3848

80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848

900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012323NYMDMental Health Counselor
23012323NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC Current Accepting new patients
Frederick M. Occhino, D.O.,P.C. Past Accepting new patients
Physician Mobile Medical Care PC PastSince Apr 1, 2025 Accepting new patients
General Physician, PC PastSince Apr 1, 2016 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
  • Direct secure messaging: paricotta@hra.medentdirect.com

Organizations & group practices 11

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477736932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUFFALO CREEK RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599024",
            "telephone_number": "716-572-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-646-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823826",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Route 6 Ste 704-705",
            "address_purpose": "LOCATION",
            "city": "Baldwin Place",
            "state": "NY",
            "postal_code": "105051026",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Old Route 7",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "CT",
            "postal_code": "068041711",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICOTTA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23012323",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA7855",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.