DR. LISE VINCENT (DPM) – Podiatrist, NPI 1104880228

DR. LISE VINCENT (DPM) is a healthcare provider. based in New york, New York. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. N005480 (NY). The NPI Number for DR. LISE VINCENT (DPM) is 1104880228

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISE VINCENT (DPM)
NPI
1104880228
Phone
(212) 227-8401
Address
280 HENRY ST
Enumeration Date
14 April 2006
Last Update Date
20 March 2020

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2122278401
Graduation Year
1998 (28 years ago)
PAC ID
6406842400
Group Practice PAC ID
1658391578
Professional Enrollment ID
I20040423001138
Address ID
NY100025808NE280XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,974 PODIATRY in NY

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Provider Addresses for DR. LISE VINCENT (DPM)

  • 280, Henry Street, Lower East Side, Manhattan Community Board 3, Manhattan, New York County, New York, 10002, United States

    NEW YORK, NY 100024816

    Phone: (212) 227-8401

    Fax: (212) 227-8842

    Mailing address matches the actual address.

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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: ViiV Healthcare Company ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ViiV Healthcare Company$34
View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040423001138IPodiatryNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 10002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658391578View full group profile
NameSpecialtyState
Internal MedicineNY
-NY
Registered Dietitian Or Nutrition ProfessionalNY
-NY
Internal MedicinePA
-NY
Family PracticeNY
P O D I A T R YNY
Registered Dietitian Or Nutrition ProfessionalNY
Family PracticeNJ

Reviews

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Frequently asked questions

Does DR. LISE VINCENT (DPM) have a public NPI I can cite?
Public records show DR. LISE VINCENT (DPM) under NPI 1104880228.
Is DR. LISE VINCENT (DPM) currently accepting referrals based on NPI status?
Registry metadata lists DR. LISE VINCENT (DPM) as active.
How should patients interpret DR. LISE VINCENT (DPM)'s specialty?
The extract shows Podiatrist for DR. LISE VINCENT (DPM). Clinical services aligned with this taxonomy classification.
Can patients visit DR. LISE VINCENT (DPM) in New York, New York?
For routing, start with New York, New York for DR. LISE VINCENT (DPM), then verify phone and hours locally.
Who maintains DR. LISE VINCENT (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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