Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265643860 Individual Practitioner Female Practitioner

Lisa Marie Wisel , MS, ADTR-LCAT

Specialist • Long Beach, NY

Professional Overview & Biography Verified Profile Summary

Lisa Wisel, MS, ADTR-LCAT is a registered healthcare professional specializing in Specialist in Long Beach, NY. Practice services are available at 410 E BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 E Broadway
Number 2t

Long Beach, NY 115614446

Telephone 5164318788
Fax 5164318788

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Long Beach, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 54.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
64 Specialists

Practicing in Long Beach, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 000708

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jamie Parnell , MHC

Counselor - Mental Health

NPI 1215323928
NPI 1518946342

Licensed Clinical Social Worker

Susan Wihnyk , RN

Registered Nurse

NPI 1679753032

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 410 E BROADWAY, NUMBER 2T, LONG BEACH, NY 115614446 (Tel: 5164318788)

📍
Updated Business Mailing Address July 08, 2007

Registered at 410 E BROADWAY, NUMBER 2T, LONG BEACH, NY 115614446 (Tel: 5164318788)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA WISEL, MS,ADTR-LCAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #000708 in NY)

🟢
Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265643860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

410 E Broadway, Number 2t

Long Beach, NY 115614446

Phone: 5164318788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.