MS. LISA SIRACUSA (RPA) – Surgical Physician Assistant, NPI 1104072909
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MS. LISA SIRACUSA (RPA)
81 Veronica Ave Ste 205
Somerset, NJ 088733491
Phone: (732) 640-5316
Fax: (800) 689-2361
Type: Location
305, Seguine Avenue, Staten Island, New York, 10309, United States
SUITE TWO
STATEN ISLAND, NY 103093730
Phone: (718) 966-7009
Fax: (718) 948-7514
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2023-05-04 • Largest payer in this snapshot: ReShape Lifesciences Inc. ($49).
Total Amount
$49
General + Research + Ownership
Payments
1
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ReShape Lifesciences Inc. | $49 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141106001942 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08873)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NJ | |
| General Surgery, Critical Care (Intensivists) | NJ | |
| General Surgery | PA | |
| General Surgery | NJ | |
| General Surgery | NJ | |
| General Surgery | NJ | |
| General Surgery | NJ | |
| General Practice | NY |
Reviews
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