Lisa Didomenico

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

700 Lac de Ville Blvd
Rochester, NY 14618-5665

Phone

(585) 385-6287

Fax

(585) 383-0033

NPI assigned

Nov 15, 2021

Last updated

Nov 16, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daystar for Medically Fragile Children, Inc

  dba Daystar Kids

  • Early Intervention Provider Agency
  • Rochester, NY
  • NPI 1508250267
  NPD
• Daystar Formedically Fragile Children, Inc

  • Child Physical Disabilities Respite Care
  • Rochester, NY
  • NPI 1376935957
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1609532639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185665",
            "telephone_number": "585-385-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185665",
            "telephone_number": "585-385-6287",
            "fax_number": "585-383-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zipporah Nefantee Dickinson, LPN
• Emily Dickson
• Paige Allison Dickter
• Cara Dicola, LMSW
• Amanda Elizabeth Didas, PA-C
• Amanda Lynn Didomizio
• Joseph Didonato III, DDS, MBA
• Yuriy Didukh
• Sarah Diebel, RPH
• Marcie Lyn Diegert, M.A., CCC-SLP

• Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.