Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa B Groden, PA-C

Individual provider Physician Assistant · NPI 1508193285

MS. Lisa B Groden, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 639-6821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013726 (NY)

Record details

NPI number1508193285
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2009
Last updated in NPPESAugust 7, 2014

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