Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Ambrogio-Decola, PA

Individual provider Surgical Physician Assistant · NPI 1295741825

Lisa Marie Ambrogio-Decola, PA is a Physician Assistant in Meriden, Connecticut. Qualified in 2002, 24 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
24
Licensed in
CT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

435 Lewis Ave Ste 103
Meriden, CT 06451-2101
Phone: (203) 694-7550
Fax: (203) 694-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 Chapel St, New Haven, CT 06511-4405 — (203) 789-3997

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001246 (CT)

Record details

NPI number1295741825
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJune 26, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Meriden