Individual provider Active NPI

Lisa Dabney, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New York, NY
National Provider Identifier
1578564266
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
213835-1 Issued in NY
Practice address
425 W 59TH St Ste 5D
OBGYN Associates of SLR
New York, NY 10019-8022
Phone
(212) 523-7570
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 213835-1 NY Primary

Addresses

Primary practice location

425 W 59TH St Ste 5D
OBGYN Associates of SLR
New York, NY 10019-8022

Mailing address

PO Box 95000-2243
OBGYN Associates of SLR
Philadelphia, PA 19195-2243
Phone (516) 338-5300

Other identifiers 1

IdentifierTypeStateIssuer
02103060MedicaidNY

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
I20051012001104 NY Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 4789609389 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-8590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213835-1NYMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2014 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Jul 18, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 11, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 17, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2014 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Jul 18, 2018 Accepting new patients
St Lukes Roosevelt Community Care Past Accepting new patients
Department of Neurology Professional Services Group/Slrhc Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

425 W 59th St
Ste 5A
New York, NY 10019
Phone (212) 523-7570

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

110 W 97th St
#0
New York, NY 10025

425 W 59th St
Ste 5D
New York, NY 10019
Phone (212) 523-7570

1000 10th Ave
Ste 11A61
New York, NY 10019
Phone (212) 523-7579

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

200 W 57th St
Ste 1001
New York, NY 10019
Phone (212) 663-6604

Networks

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

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1578564266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2243",
            "address_2": "OBGYN ASSOCIATES OF SLR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952243",
            "telephone_number": "516-338-5300",
            "fax_number": "516-338-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST STE 5D",
            "address_2": "OBGYN ASSOCIATES OF SLR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198022",
            "telephone_number": "212-523-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "213835-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02103060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.