Stanley J Lis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035858-1 Issued in NY

Practice address

74 Delaware Ave
Delmar, NY 12054-1537

Phone

(518) 439-3299

Fax

(518) 439-3589

NPI assigned

Feb 20, 2007

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Capital Area Hudson Valley New York Dental PC

  • General Practice Dentistry
  • Delmar, NY
  • NPI 1093463499
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770628877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541537",
            "telephone_number": "518-439-3299",
            "fax_number": "518-439-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541537",
            "telephone_number": "518-439-3299",
            "fax_number": "518-439-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "STANLEY",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lebeau
• Isabelle M Lesko, PT, DPT
• Michael Barry Levine
• Mark Steven Lewis, LCSW
• LGC Nutrition LLC
• Evelyn Susan Loeb, LCSW-R
• Janeen Lopez, NP
• Meghan M Lord, MS, CCC-SLP
• Lullaby Lactation
• Caroline Macrae, M.S. ED., CCC-SLP

• General Practice Dentistry in Delmar, NY
• Providers in Delmar, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.