Individual provider Active NPI

Lisamarie Benjamin-Mosley, RN

  • Case Management Registered Nurse
  • Staten Island, NY
National Provider Identifier
1497547723
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
612485 Issued in NY
Practice address
82 Topside LN
Staten Island, NY 10309-2826
Phone
(347) 351-1374
Fax
(347) 351-1374
NPI assigned
May 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 612485 NY Primary

Addresses

Primary practice location

82 Topside LN
Staten Island, NY 10309-2826

Mailing address

82 Topside LN
Staten Island, NY 10309-2826
Phone (347) 351-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
612485NYMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1497547723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TOPSIDE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092826",
            "telephone_number": "347-351-1374",
            "fax_number": "347-351-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TOPSIDE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092826",
            "telephone_number": "347-351-1374",
            "fax_number": "347-351-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN-MOSLEY",
        "first_name": "LISAMARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "612485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.