Individual provider Active NPI

Lisa Primiani, M.D.

  • Adult Medicine Physician
  • New York, NY
National Provider Identifier
1720375439
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
298584 Issued in NY
Practice address
25 Hudson St
New York, NY 10013-3802
Phone
(212) 441-4401
Fax
(212) 867-4353
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 298584 NY Primary
Adult Medicine Physician 207QA0505X 25MA08900100 NJ

Addresses

Primary practice location

25 Hudson St
New York, NY 10013-3802

Mailing address

129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791

Other practice location 1

95 Hudson Street
Hoboken, NJ 07030
Phone (201) 464-8888

Other identifiers 2

IdentifierTypeStateIssuer
0271675MedicaidNJ
P01125244OtherNJRAILROAD MEDICAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, VA, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110802000607 NJ Practitioner - Family Practice 0143499434
I20191001001502 NY Practitioner - Family Practice 0143499434 Reassigns benefits to 4 organizations
I20221004003755 VA Practitioner - Family Practice 0143499434 Reassigns benefits to 1 organization
I20240215000044 WV Practitioner - Family Practice 0143499434

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2520 30TH Ave
Astoria, NY 11102-2448
Phone (718) 808-7777

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08900100NJMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Adult Medicine CurrentSince Sep 21, 2022 Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2019 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Mar 1, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Mar 1, 2021 Accepting new patients
Medexpress Urgent Care, PC - Virginia Adult Medicine CurrentSince Sep 21, 2022 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 7, 2022 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Riverside Medical Group PastSince Aug 6, 2017 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766

8002 Kew Gardens Rd
Ste 323
Kew Gardens, NY 11415
Phone (718) 268-6300

2520 30th Ave
Fl 4
Long Island City, NY 11102
Phone (718) 808-7777

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

50 E Jericho Tpke
Mineola, NY 11501
Phone (516) 399-3068

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

25 Hudson St
New York, NY 10013
Phone (212) 441-4401

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lisa.primiani.1@27404.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1720375439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 29TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015105",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HUDSON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133802",
            "telephone_number": "212-441-4401",
            "fax_number": "212-867-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Hudson Street",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "07030",
            "country_code": "US",
            "telephone_number": "201-464-8888",
            "fax_number": "201-942-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMIANI",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "298584",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MA08900100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271675",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAR",
            "identifier": "P01125244",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.