LISA STEFANIE MOCCIO (NPI# 1467579243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467579243 |
| Entity Type | Individual |
| Full Name | LISA STEFANIE MOCCIO |
| Credential | NP |
| Practice Address |
30 W Main St Mount Kisco NY 10549-1910 |
| Mailing Address |
165 Main St Ossining NY 10562-4702 |
| Practice Telephone | 9146663272 |
| Mailing Telephone | 9149411263 |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302852-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02919166 | 05 |
| Street Address |
30 W MAIN ST |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114328507 | Jacklyn Obeng | Nurse Practitioner | 30 W Main St, Mount Kisco, NY 10549-1910 | 2014-09-04 |
| 1902249014 | Carmen Andrea Tamayo Gomez | Family Medicine | 30 W Main St, Mount Kisco, NY 10549-1910 | 2013-04-09 |
| 1245560242 | Melissa Marie Bennett Provost | Registered Nurse | 30 W Main St, Mount Kisco, NY 10549-1910 | 2010-01-13 |
| 1417103334 | Patricia L Dunn | Nurse Practitioner | 30 W Main St, Mount Kisco, NY 10549-1910 | 2008-08-12 |
| 1629237151 | Open Door Family Medical Center, Inc. | Clinic/Center | 30 W Main St, Mount Kisco, NY 10549-1910 | 2008-06-09 |
| 1730242132 | Benedict Caterinicchio | Pediatrics | 30 W Main St, Open Door Family Medical Centers, Inc., Mount Kisco, NY 10549-1910 | 2006-12-18 |
| 1871655696 | Samantha Rai | Family Medicine | 30 W Main St, Open Door Family Medical Centers, Inc., Mount Kisco, NY 10549-1910 | 2006-12-15 |
| 1124180906 | Daren Wu | Family Medicine | 30 W Main St, Open Door Family Medical Centers, Inc., Mount Kisco, NY 10549-1910 | 2006-12-15 |
| 1053496166 | Andrea K Ritchin | Family Medicine | 30 W Main St, Mount Kisco, NY 10549-1910 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619679 | Theresa M Bottari | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2017-02-23 |
| 1902218407 | Amy Parkin | Nurse Practitioner | 400 E Main St, Mount Kisco, NY 10549-3417 | 2014-06-02 |
| 1306142351 | Meredith Ribaudo | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2011-02-08 |
| 1871766238 | Edith R. Garvey | Nurse Practitioner | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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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.