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LISA GANDOLFO MD
NPI 1194760108
Radiology - Diagnostic Radiology in New York, NY

Active since June 17, 2006
630 W 168TH ST # MC28, NEW YORK, NY 10032(212) 305-1948(212) 305-5777 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Gandolfo Md NPPES

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

LISA GANDOLFO MD (NPI 1194760108) is an individual diagnostic radiology provider in New York, New York, licensed in New York (185190-1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1194760108
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLISA GANDOLFOCredential: MD
Location Address630 W 168TH ST # MC28New York, NY 10032-3725
Mailing Address630 W 168th St # Mc28New York, NY 10032-3725 · (212) 305-1948 · Fax (212) 305-5777
Phone(212) 305-1948
Fax(212) 305-5777
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateNovember 27, 2007
✔ NPI 1194760108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 185190-1
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
630 W 168TH ST # MC28, New York, NY 10032
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Other Identifiers 5

Medicare UPIN55H081NY
OtherW35021NY · Medicare Group #
Medicare UPINF53621NY
Other02186203NY · Medicaid Group #
Medicaid01424666NY

Other Providers at the Same Location NPPES 20

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

TAR HWANG MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
DR. DEEPA CHADHA MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
LEAH P GRUSS MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
ELIZA PILE-SPELLMAN MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
SHERELLE LAIFER-NARIN MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
JEFFREY H NEWHOUSE MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
MONIQUE CENSOR KATZ MD
Radiology (Diagnostic Radiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948
ALEXANDER KHANDJI MD
Radiology (Neuroradiology)
630 W 168TH ST # MC28
NEW YORK, NY 10032
New York County (212) 305-1948

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 Gandolfo's NPI number?

The NPI number for Lisa Gandolfo is 1194760108. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Lisa Gandolfo located?

Lisa Gandolfo practices at 630 W 168th St # Mc28, New York, NY 10032. The listed phone number is (212) 305-1948.

What is Lisa Gandolfo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lisa Gandolfo was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.