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DR. LISA FLORENCE IMUNDO MD
NPI 1881677763
Pediatrics - Pediatric Rheumatology in New York, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10032(212) 304-7250 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Florence Imundo Md NPPES

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

DR. LISA FLORENCE IMUNDO MD (NPI 1881677763) is an individual pediatric rheumatology provider in New York, New York, licensed in New York (180212-1) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1881677763
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. LISA FLORENCE IMUNDOCredential: MD
Location Address161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICSNew York, NY 10032-3729
Mailing Address161 Fort Washington Ave Fl 2, Columbia UniversityNew York, NY 10032-3729 · (212) 304-7250
Phone(212) 304-7250
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateNovember 23, 2005
Last NPPES UpdateNovember 24, 2015
✔ NPI 1881677763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in NY · 180212-1
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
161 FORT WASHINGTON AVE FL 2, New York, NY 10032
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Other Identifiers 3

Medicare ID-Type Unspecified502X31NY
Medicaid01605063NY
Medicare UPING36394NY

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

Dr. Lisa Florence Imundo Md 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 ID8325129141
PECOS Enrollment IDI20080118000175
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 8

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

ADAM MOR M.D.
Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-4308
TANIA DUMONT
Physician Assistant
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-5974
MARIELA NAVARRO-TORRES MD
Internal Medicine (Nephrology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-0320
DIANE FRANCES ZISA MD
Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-4308
CHRISTINE PARSONS MD
Internal Medicine (Rheumatology)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-4308
CHRISTOPHER BLUM MD
Orthopaedic Surgery
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-5974
BIDHYA CHAMLAGAI DNP, FNP-BC
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-4308
LIANA JULIET TEDESCO
Orthopaedic Surgery
161 FORT WASHINGTON AVE FL 2
NEW YORK, NY 10032
New York County (212) 305-4565

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 Imundo's NPI number?

The NPI number for Lisa Imundo is 1881677763. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Lisa Imundo located?

Lisa Imundo practices at 161 Fort Washington Ave Fl 2 Columbia University Department Of Pediatrics, New York, NY 10032. The listed phone number is (212) 304-7250.

What is Lisa Imundo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Lisa Imundo enrolled in Medicare?

Yes. Lisa Imundo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Imundo was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.