Mary Elizabeth Lisi, NP, CNM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

F331809 Issued in NY

Practice address

78 Cromwell Ave
Staten Island, NY 10304-3933

Phone

(718) 987-9175

Fax

(718) 987-1678

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598826711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LISK CT",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381360",
            "telephone_number": "732-758-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CROMWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043933",
            "telephone_number": "718-987-9175",
            "fax_number": "718-987-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "F331809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LICENCE #",
            "identifier": "001043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENCE #",
            "identifier": "F331809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lippman, M.A., CCC-SLP
• Maria C. Liranzo
• Polina Lirman, PHARM D
• Ana Lisencu, RN
• Dmitry Lisenenkov, M.D.
• Valerie Lisojo-Ponemon, RDCS
• Jordan Lissauer, DMD
• Jennifer Lista
• Listening Carefully Individual & Family Counseling Services
• Dinara Litmanovich, FNP

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.