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DR. KENNETH R LISI MD
NPI 1861499824
Internal Medicine - Cardiovascular Disease in Bridgeport, CT

Active since July 06, 2005
2979 MAIN ST, BRIDGEPORT, CT 06606(203) 333-8800(203) 384-5157 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth R Lisi Md NPPES

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

DR. KENNETH R LISI MD (NPI 1861499824) is an individual cardiovascular disease provider in Bridgeport, Connecticut, licensed in Connecticut (013087) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1861499824
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KENNETH R LISICredential: MD
Location Address2979 MAIN STBridgeport, CT 06606-4252
Mailing Address2979 Main StBridgeport, CT 06606-4252 · (203) 333-8800 · Fax (203) 384-5157
Phone(203) 333-8800
Fax(203) 384-5157
Sole ProprietorNo
Enumeration DateJuly 6, 2005
Last NPPES UpdateMay 31, 2013
✔ NPI 1861499824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 013087
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2979 MAIN ST, Bridgeport, CT 06606
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Other Identifiers 2

Medicare UPINB38194CT
Medicare UPIN110004860CT

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.

DR. JOSEPH A ROSE MD
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 333-8800
DR. ROBERT A CASERTA MD
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 333-8800
LINETTE YADIRA ROSARIO TEJEDA MD
Family Medicine
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
VENU CHANNAMSETTY MD
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 683-5110
DR. ANJA WAGNER MD
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 683-5100
DANIEL KAPLAN PA
Physician Assistant
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
DR. JANELLE DUAH MD
Internal Medicine
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 382-2345
CONNECTICUT HEART & VASCULAR CENTER, PC
Internal Medicine (Cardiovascular Disease)
2979 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 333-8800

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 Kenneth Lisi's NPI number?

The NPI number for Kenneth Lisi is 1861499824. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Kenneth Lisi located?

Kenneth Lisi practices at 2979 Main St, Bridgeport, CT 06606. The listed phone number is (203) 333-8800.

What is Kenneth Lisi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Kenneth Lisi was last updated on May 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.