Individual provider Active NPI

Lisa Joanna Steccato, CPNP-PC

  • Pediatric Nurse Practitioner
  • Scarsdale, NY
National Provider Identifier
1568244804
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383658 Issued in NY
Practice address
7 Popham Rd Ste 3
Scarsdale, NY 10583-3782
Phone
(914) 725-0800
Fax
(914) 722-4501
NPI assigned
Oct 20, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383658 NY Primary

Addresses

Primary practice location

7 Popham Rd Ste 3
Scarsdale, NY 10583-3782

Mailing address

123 S Conger Ave
Congers, NY 10920-2205
Phone (914) 282-3446

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417003878 NY Practitioner - Nurse Practitioner 6204275662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383658NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children's Health Physicians, LLP CurrentSince May 1, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince May 1, 2024 Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

7 Popham Rd
Ste 3
Scarsdale, NY 10583
Phone (914) 725-0800

7 Popham Rd
Ste 301
Scarsdale, NY 10583
Phone (914) 725-0800

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (914) 366-0015

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lisa.steccato.p1@direct.cwpw.nextgenshare.com

Organizations & group practices 2

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1568244804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S CONGER AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202205",
            "telephone_number": "914-282-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POPHAM RD STE 3",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833782",
            "telephone_number": "914-725-0800",
            "fax_number": "914-722-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECCATO",
        "first_name": "LISA",
        "middle_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.