Lisa M Greenwald, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334955 Issued in NY

Practice address

1783 Route 9
Suite 102
Halfmoon, NY 12065-2409

Phone

(518) 383-8191

Fax

(518) 383-9232

NPI assigned

Aug 12, 2006

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• PRC Associates LLC

  • Pain Medicine Physician
  • Daytona Beach, FL
  • NPI 1558310128
  Medicare reassignment Care Compare group NPD
• New York Pain Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Clifton Park, NY
  • NPI 1407884455
  Medicare reassignment NPD
• Community Care Physicians, PC

  dba Community Care Lab Care

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1023380714
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1982616611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLD PLANK RD",
            "address_2": "STE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653107",
            "telephone_number": "518-371-0777",
            "fax_number": "518-371-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9",
            "address_2": "SUITE 102",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-383-8191",
            "fax_number": "518-383-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02808586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Gong
• Miriam Gottlieb, LMHC
• Jill Gradner
• Allison Doyle Graziadei, MD
• Albert Sterling Green, FNP
• Halfmoon Chiropractic, PLLC
• Halfmoon DME LLC
• Grace Emily Hanlon, RD, CDCES
• Stephanie Lyn Hazen, OTR/L
• Steven David Hicks, PA

• Family Nurse Practitioner in Halfmoon, NY
• Providers in Halfmoon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.

Verify at the official NPI Registry.