Dana Lisi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01143900 Issued in NJ

Practice address

300 Craig Rd Ste 207
Manalapan, NJ 07726-8742

Phone

(732) 431-5093

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Midstate Therapy Associates LLC

  • Speech-Language Pathologist
  • Manalapan, NJ
  • NPI 1568672913
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1073240156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SAINT JOHNS DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288868",
            "telephone_number": "732-604-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 207",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-431-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISI",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01143900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Laurel Liebross, M.S. CCC-SLP, BCBA
• Brittany Ligammari
• George Likakis
• Glenn Limas, P.T.
• Linda Marie Smith, LPC, LLC
• Christian Liskowitz
• Jane Liss
• Thomas List, LSW, MSW
• Little Steps, Inc
• Little Village Playhouse PC

• Speech-Language Pathologist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.