Active NPI
Lisa Rose Duonola
- Specialist
- Mahopac, NY
National Provider Identifier
1518733377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 572 Route 6 Ste 102
Mahopac, NY 10541-4795 - Phone
- (845) 519-2295
- NPI assigned
- Dec 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
572 Route 6 Ste 102
Mahopac, NY 10541-4795
Mailing address
29 Agor LN
Mahopac, NY 10541-1333
Phone (914) 924-6133
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1518733377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 AGOR LN",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105411333",
"telephone_number": "914-924-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 ROUTE 6 STE 102",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105414795",
"telephone_number": "845-519-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONOLA",
"first_name": "LISA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.