Individual provider Active NPI

Lynne Marie Digennaro, MD

  • Family Medicine Physician
  • Vernon, NY
National Provider Identifier
1922069046
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
216283 Issued in NY
Practice address
3 Curtis Rd
Vernon, NY 13476-3607
Phone
(315) 829-2220
Fax
(315) 829-2014
NPI assigned
Mar 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216283 NY Primary

Addresses

Primary practice location

3 Curtis Rd
Vernon, NY 13476-3607

Mailing address

3 Curtis Rd
Vernon, NY 13476-3607
Phone (315) 829-2220

Other identifiers 1

IdentifierTypeStateIssuer
02158381MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001053 NY Practitioner - Family Practice 5092700765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

4104 Medical Ctr Dr
Suite 104
Fayetteville, NY 13066-6635
Phone (315) 663-0059

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216283NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
St Josephs Hospital Health Center PastSince Mar 1, 2016 Accepting new patients

Locations

4104 Medical Center Dr
Ste 104
Fayetteville, NY 13066
Phone (315) 663-0059

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Interoperability endpoints

  • Direct secure messaging: ldigennaro2387665@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922069046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGENNARO",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02158381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, NY

Sources for this page

Verify at the official NPI Registry.