LISA ANN SHEA (NPI# 1336381136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336381136 |
| Entity Type | Individual |
| Full Name | LISA ANN SHEA |
| Credential | PA-C |
| Practice Address |
1550 Richmond Ave Suite 207 Staten Island NY 10314-1578 |
| Mailing Address |
1550 Richmond Ave Staten Island NY 10314-1510 |
| Practice Telephone | 7186981616 |
| Practice Fax Number | 7186989573 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 010434 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DR. PATRICIA C MCCORMACK | 157484834 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975919 | Lisa A Shea | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254-1807 | 2005-07-11 |
| 1548789258 | Lisa Shea | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-09-13 |
| 1275916397 | Lisa Shea | Social Worker | 940 Belmont St, Brockton, MA 02301-5596 | 2015-07-07 |
| 1790096212 | Lisa Nicole Shea | Clinical Nurse Specialist | 100 High St, Buffalo, NY 14203-1126 | 2010-06-30 |
| 1518038975 | Lisa Shea | Counselor | 2458 Stetzer Rd, Bucyrus, OH 44820-2066 | 2006-11-10 |
| 1154407849 | Lisa Rose Shea | Licensed Vocational Nurse | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2006-10-27 |
| 1033125356 | Lisa Braff Shea | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2006-07-31 |
| 1336121904 | Lisa Shea | Chiropractor | 230 Forest Park Ave, Springfield, MA 01108-2034 | 2005-11-18 |
| Street Address |
1550 RICHMOND AVE SUITE 207 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989470 | Jeffrey David Schiller | Ophthalmology | 1550 Richmond Ave, Suite 208, Staten Island, NY 10314-1578 | 2005-08-12 |
| 1164890752 | Romina Calascione | Physician Assistant | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2015-09-13 |
| 1568891372 | Jeremy Sommer | Physician Assistant | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2013-11-02 |
| 1740532829 | Peter J Miceli Md PC | Otolaryngology | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2012-10-12 |
| 1881966182 | Board Certified Internists of Staten Island Pllc | Internal Medicine | 1550 Richmond Ave, Suite 202, Staten Island, NY 10314-1510 | 2012-02-01 |
| 1215220769 | Sceusa Lamia Md LLC | Internal Medicine | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2011-05-17 |
| 1891097242 | Dr. Carl Sceusa M.d. and Dr. James Lamia M.d. | Internal Medicine | 1550 Richmond Ave, Suite 202, Staten Island, NY 10314-1578 | 2010-11-17 |
| 1972757672 | John M Pepe Md Pllc | Internal Medicine | 1550 Richmond Ave, Staten Island, NY 10314-1578 | 2008-11-07 |
| 1891887543 | Patricia C Mccormack | Dermatology | 1550 Richmond Ave, Staten Island, NY 10314-1578 | 2006-09-29 |
| 1568554806 | Matthew Palombini | Internal Medicine | 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716238 | Alena Rakhman | Physician Assistant | 4118 Amboy Rd, Staten Island, NY 10308-2318 | 2020-10-01 |
| 1518574078 | Dana Marie Tedesco | Physician Assistant | 403 Kissel Ave, Staten Island, NY 10301-2600 | 2020-09-29 |
| 1275155277 | Nicole Deluzio | Physician Assistant | 332 Brighton St, Staten Island, NY 10307-1708 | 2020-05-12 |
| 1497377667 | Alexandra Ferro | Physician Assistant | 150 Colon Ave, Staten Island, NY 10308-1405 | 2020-05-11 |
| 1083236434 | Marisa Dimare | Physician Assistant | 700 Jewett Ave, Staten Island, NY 10314-2808 | 2020-05-08 |
| 1861013625 | Danielle Alexandra Crespo | Physician Assistant | 8 Reading Ave, Staten Island, NY 10312-2021 | 2020-05-04 |
| 1194359257 | Brandon J Rego | Physician Assistant | 224 Slater Blvd, Staten Island, NY 10305-3241 | 2020-02-27 |
| 1447897210 | Anthony Joseph Lazzaro | Physician Assistant | 14 Luna Cir, Staten Island, NY 10312-6047 | 2019-11-29 |
| 1770127664 | Jocelyn Philip | Physician Assistant | 158 Livingston Ave, Staten Island, NY 10314-5131 | 2019-11-04 |
| 1295379303 | Dhiwya Alex | Physician Assistant | 61 Delafield Pl, Staten Island, NY 10310-1675 | 2019-10-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.