Individual provider Active NPI

Lissette Lorena Escobales, NP

  • Family Nurse Practitioner
  • Guttenberg, NJ
National Provider Identifier
1023880424
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353041 Issued in NY
Practice address
7002 Blvd E Apt 6a
Guttenberg, NJ 07093-4906
Phone
(201) 885-0664
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 26NR22227700 NJ
Medical-Surgical Registered Nurse 163WM0705X 768370 NY
Family Nurse Practitioner 363LF0000X 353041 NY Primary

Addresses

Primary practice location

7002 Blvd E Apt 6a
Guttenberg, NJ 07093-4906

Mailing address

7002 Blvd E Apt 6a
Guttenberg, NJ 07093-4906
Phone (201) 885-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1888 Westchester Ave
Suite B
Bronx, NY 10472-3000

7004 Blvd E Apt
15D
Guttenberg, NJ 07093-5015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR22227700NJMDMedical-Surgical Registered Nurse
768370NYMDMedical-Surgical Registered Nurse
353041NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1023880424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 BLVD E APT 6A",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934906",
            "telephone_number": "201-885-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 BLVD E APT 6A",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934906",
            "telephone_number": "201-885-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBALES",
        "first_name": "LISSETTE",
        "middle_name": "LORENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR22227700",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "768370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

Verify at the official NPI Registry.