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MS. LISA SIRACUSA RPA
NPI 1104072909
Physician Assistant - Surgical in Staten Island, NY

Active since August 12, 2008PECOS Enrolled
305 SEGUINE AVE, SUITE TWO, STATEN ISLAND, NY 10309(718) 966-7009(718) 948-7514 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Siracusa Rpa NPPES

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

MS. LISA SIRACUSA RPA (NPI 1104072909) is an individual surgical provider in Staten Island, New York, licensed in New Jersey (25MP00315900) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1104072909
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. LISA SIRACUSACredential: RPA
Location Address305 SEGUINE AVE, SUITE TWOStaten Island, NY 10309-3730
Mailing Address305 Seguine Ave, Suite TwoStaten Island, NY 10309-3730 · (718) 966-7009 · Fax (718) 948-7514
Phone(718) 966-7009
Fax(718) 948-7514
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 12, 2008
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1104072909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NJ · 25MP00315900✔ Licensed in NY · 004641
305 SEGUINE AVE, Staten Island, NY 10309
Open in Google Maps ↗

Secondary Practice Location 1

Location 181 Veronica Ave Ste 205Somerset, NJ 08873-3491 · Phone (732) 640-5316 · Fax (800) 689-2361

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 Siracusa Rpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618199639
PECOS Enrollment IDI20141106001942
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

RICHMOND PRIMARY CARE SPECIALISTS, PC
General Practice
305 SEGUINE AVE, SUITE 1
STATEN ISLAND, NY 10309
Richmond County (718) 967-8300
MIGUEL A. TIRADO, MD PLLC
General Practice
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 967-0330
FRANK J SCACCIA M.D.,F.A.C.S.,L.L.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
305 SEGUINE AVE, SUITE 1
STATEN ISLAND, NY 10309
Richmond County (732) 747-5300
ANU SAMPAT MD
Internal Medicine (Gastroenterology)
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 876-9600
GI MEDICAL SERVICES PC
Internal Medicine (Gastroenterology)
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 605-5000
PRS ENDOSCOPY ASSOCIATES LLC
Internal Medicine (Gastroenterology)
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 317-8317
DR. DANIAL DANESHVAR M.D
Internal Medicine (Gastroenterology)
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 605-5000
PROCEDURE ENDOSCOPY SERVICES PLLC
Pathology (Anatomic Pathology & Clinical Pathology)
305 SEGUINE AVE
STATEN ISLAND, NY 10309
Richmond County (718) 605-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Siracusa's NPI number?

The NPI number for Lisa Siracusa is 1104072909. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Where is Lisa Siracusa located?

Lisa Siracusa practices at 305 Seguine Ave Suite Two, Staten Island, NY 10309. The listed phone number is (718) 966-7009.

What is Lisa Siracusa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lisa Siracusa enrolled in Medicare?

Yes. Lisa Siracusa is registered in the Medicare PECOS enrollment system.

Is Lisa Siracusa affiliated with any hospitals?

According to CMS data, Lisa Siracusa is affiliated with Robert Wood Johnson University Hospital and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Siracusa was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.