Individual provider Active NPI

Ann Marie Lanza-Bisciello, APRN, A-GNP-C,

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1972142313
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309475-01 Issued in NY
Practice address
1513 Highland Ave
New Hyde Park, NY 11040-3941
Phone
(516) 924-7742
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309475-01 NY Primary

Addresses

Primary practice location

1513 Highland Ave
New Hyde Park, NY 11040-3941

Mailing address

1513 Highland Ave
New Hyde Park, NY 11040-3941
Phone (516) 924-7742

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130000164 NY Practitioner - Nurse Practitioner 2567815244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F309475-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 6, 2023 Accepting new patients

Locations

330 Community Dr
Manhasset, NY 11030
Phone (516) 562-8000

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

1999 Marcus Ave
Ste M6
North New Hyde Park, NY 11042
Phone (516) 233-3652

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: annmarielanza-bisciello@nslijmedgr.allscriptsdirect.net

Organizations & group practices 1

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 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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1972142313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HIGHLAND AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403941",
            "telephone_number": "516-924-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HIGHLAND AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403941",
            "telephone_number": "516-924-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA-BISCIELLO",
        "first_name": "ANN MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, A-GNP-C,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309475-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.