Individual provider Active NPI

Lisa A Corrente, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1770635344
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
222791 Issued in NY
Practice address
3620 E Tremont Ave Ste 104
Bronx, NY 10465-2038
Phone
(718) 484-3989
Fax
(718) 484-8757
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A-83648 CA
Diagnostic Radiology Physician 2085R0202X MD424264 PA
Diagnostic Radiology Physician 2085R0202X ME109666 FL
Diagnostic Radiology Physician 2085R0202X 25MA08886400 NJ
Diagnostic Radiology Physician 2085R0202X 49355 CT
Diagnostic Radiology Physician 2085R0202X 042-0012112 VT
Diagnostic Radiology Physician 2085R0202X 46787 TN
Diagnostic Radiology Physician 2085R0202X 15099 NH
Diagnostic Radiology Physician 2085R0202X D71724 MD
Diagnostic Radiology Physician 2085R0202X 222791 NY Primary

Addresses

Primary practice location

3620 E Tremont Ave Ste 104
Bronx, NY 10465-2038

Mailing address

3620 E Tremont Ave Ste 104
Bronx, NY 10465-2038
Phone (718) 484-3989

Other identifiers 2

IdentifierTypeStateIssuer
101341974MedicaidPA
03494846MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000744 NY Practitioner - Diagnostic Radiology 2264325729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3620 E Tremont Ave
Suite 104
Bronx, NY 10465-2038
Phone (718) 484-3989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-83648CAMDDiagnostic Radiology Physician
49355CTMDDiagnostic Radiology Physician
ME109666FLMDDiagnostic Radiology Physician
D71724MDMDDiagnostic Radiology Physician
15099NHMDDiagnostic Radiology Physician
25MA08886400NJMDDiagnostic Radiology Physician
222791NYMDDiagnostic Radiology Physician
MD424264PAMDDiagnostic Radiology Physician
46787TNMDDiagnostic Radiology Physician
042-0012112VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Place Medical Imaging P.C. CurrentSince Sep 5, 2012 Accepting new patients
Stand-Up MRI of Queens, P.C. Diagnostic Radiology CurrentSince Feb 14, 2014 Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology Past Accepting new patients
Stand-Up MRI of East Elmhurst, PC Diagnostic Radiology Past Accepting new patients
Lucia'S Pharmacy Inc. PastSince Nov 1, 2019 Accepting new patients
River Radiology PLLC Diagnostic Radiology Past Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Past Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology Past Accepting new patients
Ulster Radiologic Associates, PC Past Accepting new patients

Locations

3620 E Tremont Ave
Ste 104
Bronx, NY 10465
Phone (718) 409-2902

16720 Union Tpke
Flushing, NY 11366
Phone (718) 969-6222

110 Marcus Dr
Melville, NY 11747
Phone (631) 390-1793

316 E 30th St
New York, NY 10016
Phone (212) 380-2075

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1770635344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E TREMONT AVE STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652038",
            "telephone_number": "718-484-3989",
            "fax_number": "718-484-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E TREMONT AVE STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652038",
            "telephone_number": "718-484-3989",
            "fax_number": "718-484-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRENTE",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A-83648",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD424264",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME109666",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08886400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "49355",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0012112",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "46787",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "15099",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D71724",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "222791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101341974",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03494846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.