Denise A Lisi, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005033 Issued in NY

Practice address

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074

Phone

(518) 348-3176

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dczwakiel@landmarkhealth-direct.org

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.

• Digestive Disease Assoc of Schenectady

  • Specialist
  • Schenectady, NY
  • NPI 1477625663
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1851470116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PEBBLE BEACH DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651106",
            "telephone_number": "518-369-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TROY SCHENECTADY RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101074",
            "telephone_number": "518-348-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISI",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005033",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Amie Naomi Lindemann, COTA/L
• Talitha Linden-Darrow
• Anne Christine Lindsay, R.N.
• Deanna Marie Lipscomb, PA-C
• Wallin J Litwa, DO
• Haiying Liu
• Alfredo Lloreda, M.D.
• Christina Loatman
• Rocco F. Loccisano, O.D.

• Physician Assistant in Latham, NY
• Providers in Latham, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.