Active NPI
Lisa Lusardi, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1821312042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 559868
- Practice address
- 37 Wall St Apt 21P
New York, NY 10005-2024 - Phone
- (954) 551-7295
- NPI assigned
- Mar 17, 2010
- Reactivated
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 559868 | NY | |
| Registered Nurse | 163W00000X | 559868 | NY | Primary |
Addresses
Primary practice location
37 Wall St Apt 21P
New York, NY 10005-2024
Mailing address
37 Wall St Apt 21P
New York, NY 10005-2024
Phone (954) 551-7295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559868 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fortune Society Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Long Island City, NY
- NPI 1235357237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1821312042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WALL ST APT 21P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052024",
"telephone_number": "954-551-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WALL ST APT 21P",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052024",
"telephone_number": "954-551-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSARDI",
"first_name": "LISA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"deactivation_date": "2024-06-11",
"reactivation_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "559868",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "559868",
"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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.