MS. LISA AYMONG NP
NPI 1023336567
Clinic/Center - Rehabilitation in Port Jefferson, NY

Q: What is Lisa Aymong's NPI number?

The NPI number for Lisa Aymong is 1023336567. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Q: What is Lisa Aymong's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Aymong was last updated on May 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2010PECOS Enrolled

150 DARK HOLLOW RD, PORT JEFFERSON, NY 11777(631) 473-5400 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Lisa Aymong Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA AYMONG NP (NPI 1023336567) is an individual rehabilitation provider in Port Jefferson, New York, licensed in New York (302539) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023336567

Entity TypeIndividualFemale

Primary Taxonomy261QR0400X

Provider Legal NameMS. LISA AYMONGCredential: NP

Location Address150 DARK HOLLOW RDPort Jefferson, NY 11777-2048

Mailing Address150 Dark Hollow RoadPort Jefferson, NY 11777 · (631) 473-5400

Phone(631) 473-5400

Sole ProprietorYes

Enumeration DateMay 7, 2010

✔ NPI 1023336567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

License✔ Licensed in NY · 302539

150 DARK HOLLOW RD, Port Jefferson, NY 11777

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Aymong Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORT JEFFERSON OPERATING LLC

Skilled Nursing Facility