Individual provider Active NPI

Christopher Vincent Lisi, M.D.

  • Otolaryngology Physician
  • West Nyack, NY
National Provider Identifier
1861767055
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
291328 Issued in NY
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MA12637000OtherNJSTATE
291328OtherNYMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171014000030 NY Practitioner - Otolaryngology 5799050530 Reassigns benefits to 2 organizations
I20260604001991 NJ Practitioner - Otolaryngology 5799050530 Reassigns benefits to 1 organization

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
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

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 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291328NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Jan 12, 2020 Accepting new patients
Amboy Medical Practice PC Otolaryngology CurrentSince Jan 12, 2020 Accepting new patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Apr 6, 2026 Accepting new patients
Personal Health Imaging, PLLC PastSince Apr 6, 2026 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

  • Direct secure messaging: clisi127325@direct-guthrie.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.