Individual provider Active NPI

Lisa M. Nasoff, BCBA, MSED

  • Behavior Analyst
  • Rockville Centre, NY
National Provider Identifier
1881001998
Registry record updated Oct 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2524
Practice address
37 Clinton Ave Apt 2E
Rockville Centre, NY 11570-4005
Phone
(516) 712-5810
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-05-2524 Primary

Addresses

Primary practice location

37 Clinton Ave Apt 2E
Rockville Centre, NY 11570-4005

Mailing address

37 Clinton Ave Apt 2E
Rockville Centre, NY 11570-4005
Phone (516) 712-5810

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476576000000",
    "number": "1881001998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLINTON AVE APT 2E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704005",
            "telephone_number": "516-712-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLINTON AVE APT 2E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704005",
            "telephone_number": "516-712-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASOFF",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "BCBA, MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2016-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; 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.