Isabella Lucia Detrano, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

034413 Issued in NY

Practice address

462 1St Ave
New York, NY 10016-9196

Phone

(212) 662-3874

NPI assigned

Dec 22, 2025

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1548125495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 CLEVELAND LN",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078665809",
            "telephone_number": "973-747-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-662-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRANO",
        "first_name": "ISABELLA",
        "middle_name": "LUCIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "034413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Jacqueline Desucre, PA-C
• Marjory Desulme, APN
• Olga Desyatnik
• Joan Determann, LMSW
• Monica Detomas, MSN, FNP-BC, RN
• Michael Paul Detres, PH.D.
• Jonathan Joseph Detrixhe, M.A.
• Detronet.Com LLC
• Mary Jane Detroyer, M.S., R.D.
• Ayana Detweiler, M.A., CCC-SLP

• Urology Physician in New York, NY
• Providers in New York, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.