NPIMap

Organization Active NPI

Lisle Medical Arts Center

  • Primary Care Clinic/Center
  • Lisle, NY
National Provider Identifier
1598817207
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
113141 Issued in NY
Legal business name
LISLE MEDICAL ARTS CENTER
Practice address
66 Johnson Hill Road
Pob 338
Lisle, NY 13797-0338
Phone
(607) 692-3844
Fax
(607) 692-3846
NPI assigned
Jan 16, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Daniel J. Driscoll, M.D.NPI 1518959204
Title
Owner
Phone
(607) 692-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 113141 NY Primary

Addresses

Primary practice location

66 Johnson Hill Road
Pob 338
Lisle, NY 13797-0338

Mailing address

66 Johnson Hill Road
Pob 338
Lisle, NY 13797-0338
Phone (607) 692-3844

Other identifiers 1

IdentifierTypeStateIssuer
00491447MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1598817207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 JOHNSON HILL ROAD",
            "address_2": "POB 338",
            "city": "LISLE",
            "state": "NY",
            "postal_code": "137970338",
            "telephone_number": "607-692-3844",
            "fax_number": "607-692-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 JOHNSON HILL ROAD",
            "address_2": "POB 338",
            "city": "LISLE",
            "state": "NY",
            "postal_code": "137970338",
            "telephone_number": "607-692-3844",
            "fax_number": "607-692-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISLE MEDICAL ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-692-3844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "113141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00491447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.