MS. LISA ANN WILDENBERGER MSSPED
NPI 1588929749
Specialist in New York, NY

Q: What is Lisa Wildenberger's NPI number?

The NPI number for Lisa Wildenberger is 1588929749. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Q: What is Lisa Wildenberger's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wildenberger was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 12, 2012

788 COLUMBUS AVE, APT 11C, NEW YORK, NY 10025(917) 912-1772 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Lisa Ann Wildenberger Mssped NPPES

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

MS. LISA ANN WILDENBERGER MSSPED (NPI 1588929749) is an individual specialist in New York, New York and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1588929749

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. LISA ANN WILDENBERGERCredential: MSSPED

Location Address788 COLUMBUS AVE, APT 11CNew York, NY 10025-5951

Mailing Address788 Columbus Ave, Apt 11cNew York, NY 10025-5951 · (917) 912-1772

Phone(917) 912-1772

Sole ProprietorYes

Enumeration DateJuly 12, 2012

Last NPPES UpdateJuly 21, 2022

✔ NPI 1588929749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

788 COLUMBUS AVE, New York, NY 10025

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Other Providers at the Same Location NPPES 4

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

DANIELLE ROSH

Specialist

788 COLUMBUS AVE, APT 9E
NEW YORK, NY 10025

New York County (914) 330-1833

DR. BARBARA ANN LEWIS PH.D.

Psychologist (Clinical)

788 COLUMBUS AVE, SUITE 4-O
NEW YORK, NY 10025

New York County (212) 864-0602

CHAYA MASHA REVA WOODROW MSC(PT)

Physical Therapist

788 COLUMBUS AVE, APT 9E
NEW YORK, NY 10025

New York County (310) 985-5960

RACHEL MIRIAM RIBACOFF PHYSICIAN ASSISTANT

Physician Assistant (Surgical)

788 COLUMBUS AVE, #11L
NEW YORK, NY 10025

New York County (917) 716-3947

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 Wildenberger's NPI number?

The NPI number for Lisa Wildenberger is 1588929749. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Lisa Wildenberger located?

Lisa Wildenberger practices at 788 Columbus Ave Apt 11C, New York, NY 10025. The listed phone number is (917) 912-1772.

What is Lisa Wildenberger's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Wildenberger was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.