Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilisa Mackoy, MD

Individual provider Anesthesiology Physician · NPI 1861927972

Ilisa Mackoy, MD is an Anesthesiology in New York, New York. Qualified in 2017, 9 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 68th St, New York, NY 10065-4870 — (212) 746-2941

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD25740 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861927972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2017
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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