Lysa M Gaccione, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320475-01 Issued in NY

Practice address

21720 43Rd Ave
Bayside, NY 11361-3519

Phone

(347) 804-4990

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1760267751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613519",
            "telephone_number": "347-804-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613519",
            "telephone_number": "347-804-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACCIONE",
        "first_name": "LYSA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "320475-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Fryer, MD
• Meiyi Fu, PHARMD.
• Michelle Fuzaylova
• Svetlana Fuzaylova, MD
• Benjamin Gabionza, PT
• Yujin Gang, RPT
• Alaina Gangi, PT, DPT
• Zi an Gao
• Gaon Acupuncture PC
• Pura Garcia-Serrablo, PSY.D.

• Licensed Practical Nurse in Bayside, NY
• Providers in Bayside, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.