Lisa M Kayser, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011958 Issued in NY

Practice address

2 Coraci Blvd
Suite 10
Shirley, NY 11967-4833

Phone

(631) 281-2600

NPI assigned

Jul 25, 2008

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 names 1

• Ms. Lisa M Deluca Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lkayser69289@northwell.direct-ci.com

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.

• Kumar S Mandal MD PC

  • Family Medicine Physician
  • Shirley, NY
  • NPI 1497924476
  NPD (past)
• Suffolk Home Care LLC

  • Home Health Agency
  • Shirley, NY
  • NPI 1952943854
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1619132925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD",
            "address_2": "SUITE 10",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD",
            "address_2": "SUITE 10",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DELUCA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RPAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Andrew Johnson, LMSW, PH.D.
• Wonyoung Jung
• Shivani Kapadia, PHARMD
• Nagorao V Karhade, M.D , FACC
• Kamaljot Kaur
• Kathleen Kelleher, RN
• Noreen Kelly
• Christiana Rose Kendrick
• Zianna Khachaturian, LMSW
• Kimberly a. Romaine, DC, PC

• Physician Assistant in Shirley, NY
• Providers in Shirley, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.