Lisa Desilva

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1639548183 Issued in NY

Practice address

2188 Pitkin Ave
Brooklyn, NY 11207-3613

Phone

(718) 345-0100

NPI assigned

Apr 24, 2017

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridging Access to Care IncGroup PAC ID 9234313909, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Bridging Access to Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548368756
  Medicare reassignment Care Compare group NPD
• Bridging Access to Care, Inc.

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1528149341
  NPD
• Royyal Early Intervention Agency Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1639548183
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1629503008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PRESIDENT ST",
            "address_2": "2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134727",
            "telephone_number": "347-296-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073613",
            "telephone_number": "718-345-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "1639548183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Desiderio, DPT
• Designer Comfort Shoes Center Inc.
• Designer Optics Corp (Designeroptics.com)
• Sonia Desikan, MD, MPH
• Betty Desil Desil
• Maryann Desilva
• Amy Desimon, LMHC
• Dennis Desimone
• Laura Lee Desimone, CNM
• Mary Desimone

• Case Manager/Care Coordinator in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.