Lisa Marie Dobler, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016008 Issued in NY

Practice address

305 Nimitz St
Jericho, NY 11753-1605

Phone

(516) 932-0769

NPI assigned

Feb 22, 2007

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 1

Other names 1

• Miss Lisa Marie Macchione Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1679608426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NIMITZ ST",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531605",
            "telephone_number": "516-932-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NIMITZ ST",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531605",
            "telephone_number": "516-932-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251300000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MACCHIONE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diagnostics Global Inc.
• Diego G. Calabria Physician P.C.
• Tami Ditkoff
• Lindsay Divack
• Robert Dobek, M.S. ED.
• Tara Rae Doner, MHC-LP
• Michaela Donohue, LCSW
• Michelle Duchnowski, PSY.D.
• Anuya Vinayak Dukle, DPT
• Eating Disorder Treatment Collaborative/Feed

• Speech-Language Pathologist in Jericho, NY
• Providers in Jericho, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.