Active NPI
Lisa Marie Gennarini, M.D.
- Pediatric Hematology & Oncology Physician
- Bronx, NY
National Provider Identifier
1710152236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 261668-1
- Practice address
- 3415 Bainbridge Ave
Rosenthal 303
Bronx, NY 10467-2403 - Phone
- (718) 741-2460
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 261668-1 | NY | Primary |
Addresses
Primary practice location
3415 Bainbridge Ave
Rosenthal 303
Bronx, NY 10467-2403
Mailing address
1675 York Ave
Apt 3F
New York, NY 10128-6752
Phone (516) 695-0729
Other names 1
- Lisa Marie Figueiredo
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261668-1 | NY | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
3411 Wayne Ave
Fl 9
Bronx, NY 10467
Phone (718) 741-2323
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1710152236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 YORK AVE",
"address_2": "APT 3F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286752",
"telephone_number": "516-695-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BAINBRIDGE AVE",
"address_2": "ROSENTHAL 303",
"city": "BRONX",
"state": "NY",
"postal_code": "104672403",
"telephone_number": "718-741-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNARINI",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "261668-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "FIGUEIREDO",
"middle_name": "MARIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.