Lisa Larocca-Hulsen, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005415 Issued in NY

Practice address

260 Middle Country Rd
Suite 104
Smithtown, NY 11787-2982

Phone

(631) 724-1166

Fax

(631) 724-4130

NPI assigned

Oct 2, 2006

Last updated

Mar 15, 2011By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marjorie C. Ravitz DPM PCGroup PAC ID 7113092180, 4 clinicians

Step by Step Podiatry PLLCGroup PAC ID 8628500311, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Step by Step Podiatry PLLC

  • Podiatrist
  • Smithtown, NY
  • NPI 1689408429
  Medicare reassignment Care Compare group Authorized official
• Marjorie C. Ravitz DPM PC

  • Podiatrist
  • Smithtown, NY
  • NPI 1093973778
  Medicare reassignment Care Compare group NPD

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

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1740373802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-724-1166",
            "fax_number": "631-724-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA-HULSEN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Louis Landskowsky, M.D.
• Brandon Lang
• Arnando A Lantigua, RN
• Jason Paul Lantz, PT ATC
• Susan Joan Laplante, P.T.
• Kimberly M Larsen-Krugman, LMHC, CASAC
• Victoria Lasala, MPH, MMS, PA-C
• Laserderm Dermatology & Cosmetic Laser Surgery
• Heather Lastuvka, LMT
• Dawn Latourrette, PT

• Podiatrist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.