LISA DESILVA
NPI 1629503008
Case Manager/Care Coordinator in Brooklyn, NY

Q: What is Lisa Desilva's NPI number?

The NPI number for Lisa Desilva is 1629503008. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Lisa Desilva's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Desilva was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 24, 2017PECOS EnrolledAccepts Medicare Assignment

2188 PITKIN AVE, BROOKLYN, NY 11207(718) 345-0100 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Desilva NPPES

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

LISA DESILVA (NPI 1629503008) is an individual case manager/care coordinator provider in Brooklyn, New York, licensed in New York (1639548183) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629503008

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLISA DESILVA

Location Address2188 PITKIN AVEBrooklyn, NY 11207-3613

Mailing Address1606 President St, 2Brooklyn, NY 11213-4727 · (347) 296-9865

Phone(718) 345-0100

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 24, 2017

✔ NPI 1629503008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in NY · 1639548183

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2188 PITKIN AVE, Brooklyn, NY 11207

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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 and accepts Medicare assignment

Lisa Desilva is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406373307

PECOS Enrollment IDI20250505001819

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.

Other Providers at the Same Location NPPES 5

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

KATHLEEN BOATWRIGHT

Case Manager/Care Coordinator