Active NPI
Christopher Vincent Lisi, M.D.
- Otolaryngology Physician
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 291328
- Practice address
- 1 Crosfield Ave Ste 201
West Nyack, NY 10994-2229 - Phone
- (845) 727-1370
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 291328 | NY | Primary |
Addresses
Primary practice location
1 Crosfield Ave Ste 201
West Nyack, NY 10994-2229
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA12637000 | Other | NJ | STATE |
| 291328 | Other | NY | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Crosfield Ave
Suite 201
West Nyack, NY 10994-2229
Phone (845) 727-1370
1855 Richmond Ave
FL 2
Staten Island, NY 10314-3912
Phone (718) 818-1855
650 From Rd
Suite 170
Paramus, NJ 07652-3517
Phone (201) 722-9850
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291328 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Otolaryngology | Current | Accepting new patients |
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
| Personal Health Imaging, PLLC | Past | Accepting new patients |
Locations
650 From Rd
Ste 170
Paramus, NJ 07652
Phone (201) 722-9850
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
1855 Richmond Ave
Fl 2
Staten Island, NY 10314
Phone (718) 818-1855
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
1 Crosfield Ave
Ste 201
West Nyack, NY 10994
Phone (845) 727-1370
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- clisi127325@direct-guthrie.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- christopher.lisi.1@19656.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
Otolaryngology
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1861767055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD STE 400",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915107",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CROSFIELD AVE STE 201",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942229",
"telephone_number": "845-727-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISI",
"first_name": "CHRISTOPHER",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "291328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "25MA12637000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "291328",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.