Individual provider Active NPI

Lisa Marie Zabelny, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1548233679
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200790 Issued in NY
Practice address
1425 Portland Ave
Wilson Building
Rochester, NY 14621-3095
Phone
(585) 922-4000
Fax
(585) 338-2997
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200790 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Wilson Building
Rochester, NY 14621-3095

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

470 Long Pond Rd
Rochester, NY 14612-3057
Phone (585) 338-1200

Other names 1

  • Lisa Zabelny Hauk Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000422 NY Practitioner - Family Practice 6901858000 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200790NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Family Medicine Current Accepting new patients
Western New York Medical Practice, PC CurrentSince Jan 1, 2018 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

470 Long Pond Rd
Rochester, NY 14612
Phone (585) 227-7600

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1548233679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900",
            "fax_number": "585-922-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "WILSON BUILDING",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213095",
            "telephone_number": "585-922-4000",
            "fax_number": "585-338-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146123057",
            "country_code": "US",
            "telephone_number": "585-338-1200",
            "fax_number": "585-544-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABELNY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "200790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HAUK",
            "middle_name": "ZABELNY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.