Active NPI
Lindsay Ann Lisch, MA, CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1568608693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017280-1
- Practice address
- 171 Madison Ave FL 5
New York, NY 10016-5123 - Phone
- (631) 664-2810
- NPI assigned
- Dec 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017280-1 | NY | Primary |
Addresses
Primary practice location
171 Madison Ave FL 5
New York, NY 10016-5123
Mailing address
144 Berry Hill Rd
Oyster Bay, NY 11771-3527
Phone (631) 664-2810
Other practice location 1
42 Kristin Ln
Hauppauge, NY 11788-1236
Phone (631) 664-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017280-1 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
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- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1568608693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 BERRY HILL RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117713527",
"telephone_number": "631-664-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MADISON AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165123",
"telephone_number": "631-664-2810"
}
],
"practiceLocations": [
{
"address_1": "42 Kristin Ln",
"address_purpose": "LOCATION",
"city": "Hauppauge",
"state": "NY",
"postal_code": "117881236",
"country_code": "US",
"telephone_number": "631-664-2810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISCH",
"first_name": "LINDSAY",
"middle_name": "ANN",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017280-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.