Individual provider Active NPI

Lisa Shindle, NP

  • Family Nurse Practitioner
  • Totowa, NJ
National Provider Identifier
1013915412
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00229200 Issued in NJ
Practice address
426 Union Blvd
Totowa, NJ 07512-2562
Phone
(973) 595-8400
Fax
(973) 595-8501
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00229200 NJ Primary

Addresses

Primary practice location

426 Union Blvd
Totowa, NJ 07512-2562

Mailing address

426 Union Blvd
Totowa, NJ 07512-2562
Phone (973) 595-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000103 NJ Practitioner - Nurse Practitioner 9537188891 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

Practice addresses (Care Compare)

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jan 9, 2023 Accepting new patients
Internal Medicine of Totowa LLC CurrentSince Oct 4, 2012 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Apr 14, 2025 Accepting new patients
Atlantic Advanced Urgent Care CurrentSince Apr 14, 2025 Accepting new patients
William R. Collini, M.D., P.a. PastSince Apr 14, 2025 Accepting new patients

Locations

140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

181 High St
Newton, NJ 07860
Phone (973) 383-9898

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

426 Union Blvd
Totowa, NJ 07512
Phone (973) 595-8400

426 Union Blvd
#1
Totowa, NJ 07512
Phone (973) 595-8400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1013915412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122562",
            "telephone_number": "973-595-8400",
            "fax_number": "973-595-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122562",
            "telephone_number": "973-595-8400",
            "fax_number": "973-595-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDLE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00229200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.