Individual provider Active NPI

Lillian Rodich

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1609283340
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017680 Issued in NY
Practice address
1275 York Ave
Memorial 8
New York, NY 10065
Phone
(212) 639-6938
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017680 NY Primary

Addresses

Primary practice location

1275 York Ave
Memorial 8
New York, NY 10065

Mailing address

575 Lexington Ave
New York, NY 10022-6102
Phone (212) 746-7576

Other practice location 1

520 E 70th St
starr 341
New York, NY 10021-9800
Phone (212) 746-7576

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407000032 NY Practitioner - Physician Assistant 9638477623 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mskcc Integrative Medicine GroupGroup PAC ID 3072694322, 7 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-4700

205 E 64TH St
New York, NY 10065-6635
Phone (646) 449-1010

Hospital & facility affiliations

  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
75.9 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
27.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017680NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hematology Lymphoma Group CurrentSince Jul 1, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2016 Accepting new patients
Mskcc Clinical Practice Plan CurrentSince Jul 24, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 17, 2016 Accepting new patients

Locations

520 E 70th St
Ste 341
New York, NY 10021
Phone (212) 746-2087

520 E 70th St
#341
New York, NY 10021
Phone (212) 746-7576

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1275 York Ave
#8
New York, NY 10065
Phone (212) 639-2282

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Networks

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

Interoperability endpoints

  • Direct secure messaging: lrodich41611@mskcc.direct-ci.com

Organizations & group practices 9

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 5

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1609283340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-746-7576",
            "fax_number": "212-746-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "MEMORIAL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-639-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E 70th St",
            "address_2": "starr 341",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100219800",
            "country_code": "US",
            "telephone_number": "212-746-7576",
            "fax_number": "212-746-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODICH",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.