LISA BETH SPOSATO RPA-C - NPI 1710942073 - Physician Assistant in Plainview, NY

Q: What is Lisa Sposato's NPI number?

The NPI number for Lisa Sposato is 1710942073. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Lisa Sposato's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Sposato was last updated on July 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Beth Sposato Rpa-c NPPES

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

LISA BETH SPOSATO RPA-C (NPI 1710942073) is an individual medical provider in Plainview, New York, licensed in New York (011040) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stony Brook, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1710942073

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA BETH SPOSATOCredential: RPA-C

Location Address150 SUNNYSIDE BLVDPlainview, NY 11803-1504

Mailing Address21 Brewster AveFort Salonga, NY 11768-2616 · (631) 807-4802

Phone(888) 982-8594

Fax(888) 920-1525

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 19, 20264 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1710942073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 011040

150 SUNNYSIDE BLVD, Plainview, NY 11803

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Secondary Practice Location 1

Location 1100 Patriots RdStony Brook, NY 11790-3318 · Phone (631) 444-8608

Other Identifiers 1

Medicaid03875183NY

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 Beth Sposato Rpa-c 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 ID7214948629

PECOS Enrollment IDI20060524000170

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANIEL ELLIOT OTR/L

Occupational Therapist