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DR. LISA FLORENCE IMUNDO MD NPI 1881677763


NPI Information

NPI: 1881677763
Provider Name: DR. LISA FLORENCE IMUNDO, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
161 FORT WASHINGTON AVE FL 2
COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS
NEW YORK, NY
ZIP 10032
Phone: (212) 304-7250
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DR. Lisa Florence Imundo, MD is a pediatric rheumatology pediatrics in New York, NY with 36 years of experience. The provider is 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. DR. Lisa Florence Imundo, MD NPI is 1881677763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1988

The provider's business location address is:

161 FORT WASHINGTON AVE FL 2
COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS
NEW YORK, NY
ZIP 10032-729
Phone: (212) 304-7250

The NPI 1881677763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 11/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0216XPediatricsPediatric Rheumatology180212-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1502X31MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
201605063MEDICAIDNEW YORK
3G36394MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.