LISA B. MORENO M.D. NPI 1508977208

NPI Information

  • NPI: 1508977208
  • Provider Name: LISA B. MORENO, M.D.
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 135 E 83RD ST
    NEW YORK, NY
    ZIP 10028
  • Phone: (212) 686-6321

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NPI Details

Lisa B. Moreno, M.D. is a pediatric allergy/immunology pediatrics in New York, NY with 27 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Lisa B. Moreno, M.D. NPI is 1508977208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

135 E 83RD ST
NEW YORK, NY
ZIP 10028-408
Phone: (212) 686-6321

The NPI 1508977208 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 8/31/2006 and was last updated on 10/19/2022.

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
1207K00000XAllergy & ImmunologyMD044781DISTRICT OF COLUMBIANo
2207K00000XAllergy & Immunology223927NEW YORKNo
3208000000XPediatrics223927NEW YORKNo
42080P0201XPediatricsPediatric Allergy/Immunology223927NEW YORKYes

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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