Active NPI
Denis N Lusignan, M.D.
- Specialist
- Glens Falls, NY
National Provider Identifier
1689611857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 104380
- Practice address
- 102 Park St
Suite 202
Glens Falls, NY 12801-4449 - Phone
- (518) 761-2347
- Fax
- (518) 793-6658
- NPI assigned
- May 31, 2006
- Last updated
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 104380 | NY | Primary |
Addresses
Primary practice location
102 Park St
Suite 202
Glens Falls, NY 12801-4449
Mailing address
PO Box 787
102 Park St., Suite 202
Glens Falls, NY 12801-4449
Phone (518) 761-2347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00358645 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104380 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Surgical Associates, PC | Specialist | Past | Accepting new patients |
| Juan Carlos Garcia, PLLC | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Glens Falls, NY
- NPI 1003858580
-
- Specialist
- Glens Falls, NY
- NPI 1972622918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1689611857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 787",
"address_2": "102 PARK ST., SUITE 202",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014449",
"telephone_number": "518-761-2347",
"fax_number": "518-793-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK ST",
"address_2": "SUITE 202",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014449",
"telephone_number": "518-761-2347",
"fax_number": "518-793-6658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSIGNAN",
"first_name": "DENIS",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "104380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00358645",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.