MS. LISA EDELMANN (NPI# 1144709205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144709205 |
| Entity Type | Individual |
| Full Name | MS. LISA EDELMANN |
| Credential | PHD |
| Practice Address |
1428 Madison Ave Fl 2 New York NY 10029-6508 |
| Mailing Address |
333 Ludlow St Ste 3 Stamford CT 06902-6991 |
| Practice Telephone | 8002986470 |
| Mailing Telephone | 4753333623 |
| Mailing Fax Number | 4753333810 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
EDELL2 | NY | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Commercial St, Branford, CT 064052894 | 8002986470 |
| Street Address |
1428 MADISON AVE FL 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396005781 | Faculty Practice Associates Mount Sinai School of Medicine | Clinical Medical Laboratory | 1428 Madison Ave Fl 2, New York, NY 10029-6508 | 2012-05-21 |
| 1316567878 | Wanqiong Qiao | Medical Genetics | 1428 Madison Ave Fl 2, New York, NY 10029-6508 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780050815 | Lars Frederick Westblade | Pathology | Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065-7940 | 2015-08-12 |
| 1225687098 | Evangelos Ntrivalas | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2019-09-05 |
| 1770990459 | Yi-wei Tang | Pathology | 1275 York Ave, S428b, New York, NY 10065-6007 | 2014-07-15 |
| 1942610621 | John Mitsios | Pathology | 1300 York Ave, New York, NY 10065-4805 | 2014-05-02 |
| 1770837031 | Ellinor I Peerschke | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2012-11-07 |
| 1861771263 | Sachin Jambawalikar | Pathology | 622 West 168th Street, New York, NY 10032 | 2011-08-16 |
| 1730499203 | Kazunori Murata | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2010-10-18 |
| 1730349291 | Kenneth Paul Dressler | Pathology | 133 E 73rd St, New York, NY 10021-3556 | 2008-06-09 |
| 1194949941 | Venkat R Pulijaal | Pathology | 462 1st Ave, Bellevue Hospital, New York, NY 10016-9196 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1083075212 | Kenneth Ihenetu | Pathology | 785 Delaware Ave Fl 1, Delmar, NY 12054-9713 | 2016-03-16 |
| 1962843482 | Yeshpal S Chauhan | Pathology | 140 58th St Ste A, Unit 3l, Brooklyn, NY 11220-2539 | 2013-07-12 |
| 1588001317 | William John Closson | Pathology | 179 Jayne Ave, Patchogue, NY 11772-2836 | 2013-06-03 |
| 1265781504 | Yan Zhang | Pathology | 601 Elmwood Ave Box 608, Rochester, NY 14642-0001 | 2012-08-31 |
| 1841568524 | Marjorie Bonhomme | Pathology | 522 Alicia Dr, Westbury, NY 11590-1311 | 2011-12-08 |
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| 1487822375 | Foroozan Mokhtarian | Pathology | Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 | 2008-02-14 |
| 1356948392 | Magda F. Baskharoun-guirguis | Pathology | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-10-02 |
| 1619599859 | Bing Su | Pathology | 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.