Active NPI
Lissette Giraud, MD
- Otolaryngology Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 244422
- Practice address
- 155 Crystal Run Rd
Middletown, NY 10941-4028 - Phone
- (845) 703-6999
- Fax
- (845) 703-6297
- NPI assigned
- Apr 3, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 244422 | NY | Primary |
Addresses
Primary practice location
155 Crystal Run Rd
Middletown, NY 10941-4028
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02902349 | Medicaid | NY |
Other names 1
- Lissette Giraud Carcano
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Puerto Rico School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Delancey St
New York, NY 10002-3202
Phone (212) 655-2157
55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244422 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Otolaryngology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Gregory Levitin MD PC | Otolaryngology | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
77 Worth St
New York, NY 10013
Phone (212) 241-3940
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
104 Delancey St
New York, NY 10002
Phone (212) 533-5090
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
Otolaryngology
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Otolaryngology Physician
- New York, NY
- NPI 1750608253
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1568424935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414028",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414028",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRAUD",
"first_name": "LISSETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "244422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02902349",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISSETTE",
"last_name": "GIRAUD CARCANO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.