Active NPI
Rebecca Lizarraga, NP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1902193154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 305735
- Practice address
- 521 W 57TH St
4TH Floor
New York, NY 10019-2929 - Phone
- (212) 265-8070
- Fax
- (212) 265-8194
- NPI assigned
- Jul 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305735 | NY | Primary |
Addresses
Primary practice location
521 W 57TH St
4TH Floor
New York, NY 10019-2929
Mailing address
521 W 57TH St
4TH Floor
New York, NY 10019-2929
Phone (212) 265-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305735 | Other | NY | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.97 of 100
- Quality
- 82.74
- Improvement activities
- 40
- Cost
- 79.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305735 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mskcc Surgery Group | Current | Accepting new patients | |
| International Multiple Sclerosis Management Practice, PC | Current | Accepting new patients | |
| MSK Harrison | Current | Accepting new patients |
Locations
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
521 W 57th St
Fl 4
New York, NY 10019
Phone (212) 265-8070
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rlizarraga36629@mskcc.direct-ci.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.
-
- Neurology Physician
- New York, NY
- NPI 1528026028
-
- Medical Oncology Physician
- West Harrison, NY
- NPI 1174923593
-
- Surgical Oncology Physician
- New York, NY
- NPI 1699766261
-
- Internal Medicine Physician
- New York, NY
- NPI 1699746172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1902193154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W 57TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192929",
"telephone_number": "212-265-8070",
"fax_number": "212-265-8194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W 57TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192929",
"telephone_number": "212-265-8070",
"fax_number": "212-265-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZARRAGA",
"first_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "305735",
"state": "NY"
}
],
"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 7, 2011; 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.