Lisa B. Moreno

M.D. | Pediatric Allergy-Immunology | Female

---

Complete Profile:

Lisa B. Moreno basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Allergy/Immunology
Provider Name :	Lisa B. Moreno
Credential :	M.D.
Gender :	Female

Business Address:

Lisa B. Moreno address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	135 E 83rd St New York, NY, 10028-2408 United States
Phone Number :	212-686-6321

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1508977208
NPI Entity Type :	Individual
First Enrolment Date :	31 Aug, 2006
Last Updated On :	19 Oct, 2022

Medicare Participation:

Lisa B. Moreno participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0648215574
Medicare Enrollment ID :	I20050622000259
Primary Specialty :	Allergy/immunology
Medical School :	George Washington University School Of Medicine
Graduation Year :	1999
Accepts Medicare?	Yes. Lisa B. Moreno accepts medicare insurance.

Group Practice Association:

Lisa B. Moreno is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisa B. Moreno is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
North Shore - Lij Medical Pc	3375701568	4824	865 Northern Blvd Suite C101 Great Neck, NY - 110215335 Ph: 5167082540	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa B. Moreno are as mentioned. Primary taxonomy code for Lisa B. Moreno, M.D. is 2080P0201X (Pediatrics, Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
207K00000X	Allergy & Immunology	No	MD044781	DC
207K00000X	Allergy & Immunology	No	223927	NY
208000000X	Pediatrics	No	223927	NY
2080P0201X	Pediatrics, Pediatric Allergy/Immunology	Yes	223927	NY

Other Practice Locations:

Practice Address	City, State	Phone Number
110 W 97TH ST, NEW YORK, NY, 10025-6450 United States	NEW YORK, NY	212-749-1820

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	12 E 86th St Apt 1530 New York, NY, 10028-0516 United States
Phone Number :	718-350-6680

Business Location:

Patients can refer following map for directions to Lisa B. Moreno practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.