DR. LILLIAN MARIE DECOSIMO M.D. NPI 1336119783

NPI Information

  • NPI: 1336119783
  • Provider Name: DR. LILLIAN MARIE DECOSIMO, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5200 N OCEAN BLVD APT 706
    LAUDERDALE BY THE SEA, FL
    ZIP 33308
  • Phone: (703) 859-5225

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NPI Details

DR. Lillian Marie Decosimo, M.D. is an obstetrics gynecology in Lauderdale By The Sea, FL with 40 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Lillian Marie Decosimo, M.D. NPI is 1336119783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5200 N OCEAN BLVD APT 706
LAUDERDALE BY THE SEA, FL
ZIP 33308-018
Phone: (703) 859-5225
Fax: (844) 898-2182

The NPI 1336119783 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 1/26/2006 and was last updated on 9/4/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyME131219FLORIDAYes
2174400000XSpecialist0101053044VIRGINIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1024734400MEDICAIDFLORIDA
26201547MEDICAIDVIRGINIA

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: 11/21/2025

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