MRS. REBECCA LIZARRAGA (NPI# 1902193154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902193154 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA LIZARRAGA |
| Credential | NP |
| Practice Address |
521 W 57th St 4th Floor New York NY 10019-2929 |
| Practice Telephone | 2122658070 |
| Practice Fax Number | 2122658194 |
| Mailing Telephone | 2122658070 |
| Mailing Fax Number | 2122658194 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
305735 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 305735 | 01 |
| Street Address |
521 W 57TH ST 4TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681821 | Stavra N. Romas | Psychiatry & Neurology | 521 W 57th St, 4th Fl, New York, NY 10019-2929 | 2005-12-30 |
| 1104281245 | Westside Oncology Medical Associates, P.l.l.c. | Internal Medicine | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2015-12-16 |
| 1659759959 | Lauren Puccio | Physical Therapist | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2015-05-07 |
| 1619244563 | Multiple Sclerosis Medical Practice of New York, P.c | Clinic/Center | 521 W 57th St, 4th Floor, New York, NY 10019-2929 | 2011-11-21 |
| 1992007942 | Rena Petrella | Medical Genetics | 521 W 57th St, Genzyme Genetics, New York, NY 10019-2929 | 2010-11-24 |
| 1962702142 | Sandra Milena Roman | Genetic Counselor, MS | 521 W 57th St, New York, NY 10019-2929 | 2010-10-22 |
| 1285956458 | Kathryn Bieganousky | Clinical Medical Laboratory | 521 W 57th St, New York, NY 10019-2929 | 2010-02-16 |
| 1376873547 | Esah Ali | Spec/Tech, Pathology | 521 W 57th St, New York, NY 10019-2929 | 2010-01-11 |
| 1679807275 | Annette B. Moreno | Specialist/Technologist, Other | 521 W 57th St, New York, NY 10019-2929 | 2009-09-29 |
| 1821220468 | Kimberly Elizabeth Call | Spec/Tech, Pathology | 521 W 57th St, New York, NY 10019-2929 | 2009-08-16 |
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| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
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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.