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LISA ANN DEROSA PA
NPI 1942887393
Physician Assistant in Manorville, NY

Active since March 24, 2021
6 PALACE CT, MANORVILLE, NY 11949(631) 905-6771 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Ann Derosa Pa NPPES

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

LISA ANN DEROSA PA (NPI 1942887393) is an individual physician assistant in Manorville, New York and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1942887393
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA ANN DEROSACredential: PA
Location Address6 PALACE CTManorville, NY 11949-3131
Mailing Address6 Palace CtManorville, NY 11949-3131 · (631) 905-6771
Phone(631) 905-6771
Sole ProprietorNo
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 7, 2021
✔ NPI 1942887393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6 PALACE CT, Manorville, NY 11949
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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 Derosa's NPI number?

The NPI number for Lisa Derosa is 1942887393. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Lisa Derosa located?

Lisa Derosa practices at 6 Palace Ct, Manorville, NY 11949. The listed phone number is (631) 905-6771.

What is Lisa Derosa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Derosa was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.