MS. LISSA EMMANUELLA MATHIEU LPN
NPI 1962074062
Licensed Practical Nurse in Queens Village, NY

Q: What is Lissa Mathieu's NPI number?

The NPI number for Lissa Mathieu is 1962074062. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Q: What is Lissa Mathieu's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lissa Mathieu was last updated on July 16, 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.

Active since July 16, 2021

22121 JAMAICA AVE FL 2, QUEENS VILLAGE, NY 11428(718) 468-6923(718) 468-6925 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Lissa Emmanuella Mathieu Lpn NPPES

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

MS. LISSA EMMANUELLA MATHIEU LPN (NPI 1962074062) is an individual licensed practical nurse in Queens Village, New York, licensed in New York (340261) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1962074062

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. LISSA EMMANUELLA MATHIEUCredential: LPN

Location Address22121 JAMAICA AVE FL 2Queens Village, NY 11428-2015

Mailing Address1280 E 84th St Fl 1Brooklyn, NY 11236-4912 · (347) 309-3956

Phone(718) 468-6923

Fax(718) 468-6925

Sole ProprietorYes

Enumeration DateJuly 16, 2021

NPPES CertifiedJuly 16, 2021

✔ NPI 1962074062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 340261

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

22121 JAMAICA AVE FL 2, Queens Village, NY 11428

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Other Providers at the Same Location NPPES

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

MARY JUDY DESINOR-VERNON RN

Registered Nurse

22121 JAMAICA AVE FL 2
QUEENS VILLAGE, NY 11428

Queens County (225) 892-3275

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 Lissa Mathieu's NPI number?

The NPI number for Lissa Mathieu is 1962074062. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Lissa Mathieu located?

Lissa Mathieu practices at 22121 Jamaica Ave Fl 2, Queens Village, NY 11428. The listed phone number is (718) 468-6923.

What is Lissa Mathieu's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lissa Mathieu was last updated on July 16, 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.