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DR. LISA R BEVILACQUA D.O. NPI 1336231844


NPI Information

NPI: 1336231844
Provider Name: DR. LISA R BEVILACQUA, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COMMUNITY CARE PHYSICIANS PC

PECOS Registration: Yes

Address:
1882 NEW SCOTLAND RD STE 200
SLINGERLANDS, NY
ZIP 12159
Phone: (518) 439-2460
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DR. Lisa R Bevilacqua, D.O. is a family medicine in Slingerlands, NY with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Lisa R Bevilacqua, D.O. NPI is 1336231844. 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:

1882 NEW SCOTLAND RD STE 200
SLINGERLANDS, NY
ZIP 12159-627
Phone: (518) 439-2460

The NPI 1336231844 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin A1C level (HCPCS:83036)

The enumeration date for this NPI number is 9/29/2006 and was last updated on 5/7/2021.


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
1207Q00000XFamily Medicine191889NEW 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
110005959OTHERNEW YORKCDPHP
2040824000041OTHERNEW YORKFIDELIS
3000401405003OTHERNEW YORKBSNENY
401495192MEDICAIDNEW YORK
54725D1OTHERNEW YORKEMPIRE BC
6531715OTHERNEW YORKAETNA
708954OTHERNEW YORKMVP
852558OTHERNEW YORKGHI/HMO
9200032OTHERNEW YORKSENIOR WHOLE HEALTH

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: 11/14/2023

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.