Active NPI
Lisa Yanowitz, CNM, RN, IBCLC
- Advanced Practice Midwife
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 002229
- Practice address
- 1901 1St Ave
New York, NY 10029-7494 - Phone
- (917) 428-5058
- NPI assigned
- Jun 13, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 633783-1 | NY | |
| Perinatal Registered Nurse | 163WP1700X | 633783-1 | NY | |
| Inpatient Obstetric Registered Nurse | 163WX0003X | 633783-1 | NY | |
| Advanced Practice Midwife | 367A00000X | 002229 | NY | Primary |
Addresses
Primary practice location
1901 1St Ave
New York, NY 10029-7494
Mailing address
111 4TH Ave Apt 10O
New York, NY 10003-5240
Phone (917) 428-5058
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633783-1 | NY | MD | Perinatal Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triple B Love LLC | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Single Specialty | Current | Accepting new patients |
| Metropolitan Medical Practice Plan PC | Single Specialty | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lyanowitz2070565@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- General Practice Physician
- New York, NY
- NPI 1306138383
Single Specialty
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
Single Specialty
-
- Nursing Care Agency
- New York, NY
- NPI 1225698111
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1730749615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 4TH AVE APT 10O",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100035240",
"telephone_number": "917-428-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297494",
"telephone_number": "917-428-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANOWITZ",
"first_name": "LISA",
"credential": "CNM, RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "633783-1",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "NY",
"license": "633783-1",
"primary": false
},
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "NY",
"license": "633783-1",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "002229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.