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DR. ANTHONY VINCENT LISA MD
NPI 1982307724
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 22, 2023
101 NICHOLLS ROAD, STONY BROOK, NY 11794(631) 444-2484(631) 444-7538 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About Dr. Anthony Vincent Lisa Md NPPES

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

DR. ANTHONY VINCENT LISA MD (NPI 1982307724) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1982307724
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANTHONY VINCENT LISACredential: MD
Location Address101 NICHOLLS ROADStony Brook, NY 11794-8460
Mailing Address101 Nicholls RoadStony Brook, NY 11794-8460 · (631) 444-2484 · Fax (631) 444-7538
Phone(631) 444-2484
Fax(631) 444-7538
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 29, 20242 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1982307724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICHOLLS ROAD, Stony Brook, NY 11794
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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.

JOCASTA DIMITRA MARSHALL
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
DR. JODI RIGGS DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-7692
MISS JENNIFER LEE SOLAN NP
Nurse Practitioner (Acute Care)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3575
ELIAS KU
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
KELLY ANNE VAN NESS
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-4700
DR. NICHOLAS DANIEL KORKOSZ DO
Family Medicine
101 NICHOLLS ROAD, HSC LEVEL 3
STONY BROOK, NY 11794
Suffolk County (631) 444-5858
HATICE KURUCA FNP
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 278-5308
DR. NEIL JITENDRA PATEL MD, MBA
Psychiatry & Neurology (Neurology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-2599

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 Anthony Lisa's NPI number?

The NPI number for Anthony Lisa is 1982307724. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Anthony Lisa located?

Anthony Lisa practices at 101 Nicholls Road, Stony Brook, NY 11794. The listed phone number is (631) 444-2484.

What is Anthony Lisa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Anthony Lisa was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.