Individual provider Active NPI

Lisa Marie Sheppard, MD

  • Diagnostic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1083673479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD044023E Issued in PA
Practice address
680 Broadway Ste 111
Paterson, NJ 07514-1526
Phone
(973) 977-6662
Fax
(973) 341-1128
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 039123 CT
Diagnostic Radiology Physician 2085R0202X 209589 MA
Diagnostic Radiology Physician 2085R0202X ME75363 FL
Diagnostic Radiology Physician 2085R0202X CI0007032 DE
Diagnostic Radiology Physician 2085R0202X M8820 ID
Diagnostic Radiology Physician 2085R0202X 01048566A IN
Diagnostic Radiology Physician 2085R0202X 015679 ME
Diagnostic Radiology Physician 2085R0202X 00057528 MD
Diagnostic Radiology Physician 2085R0202X 0474456 MI
Diagnostic Radiology Physician 2085R0202X 10311 MT
Diagnostic Radiology Physician 2085R0202X 11256 NH
Diagnostic Radiology Physician 2085R0202X MA53519 NJ
Diagnostic Radiology Physician 2085R0202X 179324-1 NY
Diagnostic Radiology Physician 2085R0202X 10485 RI
Diagnostic Radiology Physician 2085R0202X MD044023E PA Primary

Addresses

Primary practice location

680 Broadway Ste 111
Paterson, NJ 07514-1526

Mailing address

31 Park Hill Terrace
Princeton Junction, NJ 08550-1944
Phone (908) 284-2300

Other identifiers 11

IdentifierTypeStateIssuer
02636560MedicaidNY
001969572MedicaidPA
7314701MedicaidNJ
2863049MedicaidOH
0157457 00MedicaidMD
015745700MedicaidMD
200262470 AMedicaidOK
200933310MedicaidIN
1451789MedicaidLA
7100070710MedicaidKY
7725960MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050110000385 NJ Practitioner - Diagnostic Radiology 9133032105 Reassigns benefits to 15 organizations
I20110926000639 GA Practitioner - Diagnostic Radiology 9133032105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Diagnostics Imaging and Open MRI LLCGroup PAC ID 5496779290, 39 clinicians
Newton Imaging P.a.Group PAC ID 1254325970, 42 clinicians
Radiology Associates of Hackettstown LLCGroup PAC ID 3779666565, 35 clinicians
West Orange Radiology LLCGroup PAC ID 1557630936, 35 clinicians
East Brunswick Open Upright MRI LLCGroup PAC ID 7012921950, 27 clinicians
MRI Associates of Hackettstown LLCGroup PAC ID 0749320737, 26 clinicians
Personal Touch Radiology, LLCGroup PAC ID 0749348696, 7 clinicians
95 Madison Imaging Center at Morristown IncGroup PAC ID 0840516456, 30 clinicians

Practice addresses (Care Compare)

161 E Main St
Imagecare at Denville Diagnostics
Denville, NJ 07834-2647
Phone (973) 586-1212

222 High St
Suite 101
Newton, NJ 07860-9604
Phone (973) 383-1280

57 Route 46 E
Suite 212
Hackettstown, NJ 07840-2695
Phone (908) 979-1621

61 Main St
Suite a
West Orange, NJ 07052-5353
Phone (973) 736-1680

620 Cranbury Rd
Suite 10
East Brunswick, NJ 08816-4000
Phone (732) 698-1717

657 Willow Grove St
Suite 205
Hackettstown, NJ 07840-1868
Phone (908) 979-1621

680 Broadway
Suite 111
Paterson, NJ 07514-1526
Phone (908) 284-2300

95 Madison Ave
Suite B02
Morristown, NJ 07960-6023
Phone (973) 984-1111

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8820IDMDMarriage & Family Therapist
039123CTMDDiagnostic Radiology Physician
CI0007032DEMDDiagnostic Radiology Physician
ME75363FLMDDiagnostic Radiology Physician
M8820IDMDDiagnostic Radiology Physician
01048566AINMDDiagnostic Radiology Physician
209589MAMDDiagnostic Radiology Physician
00057528MDMDDiagnostic Radiology Physician
015679MEMDDiagnostic Radiology Physician
0474456MIMDDiagnostic Radiology Physician
10311MTMDDiagnostic Radiology Physician
11256NHMDDiagnostic Radiology Physician
MA53519NJMDDiagnostic Radiology Physician
179324-1NYMDDiagnostic Radiology Physician
10485RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Touch Radiology, LLC Diagnostic Radiology CurrentSince Sep 17, 2008 Accepting new patients
East Brunswick Open Upright MRI LLC CurrentSince Oct 16, 2020 Accepting new patients
Newton Imaging P.a. CurrentSince Dec 28, 2019 Accepting new patients
Womens Diagnostic Center, P.a. CurrentSince Dec 28, 2019 Accepting new patients
Open MRI Radiology LLC CurrentSince Oct 16, 2020 Accepting new patients
Middletown Ventures Associates LLC CurrentSince Oct 16, 2020 Accepting new patients
West Orange Radiology, LLC CurrentSince Oct 23, 2020 Accepting new patients
Richard J Claps M.D. & Associates P.a. Diagnostic Radiology CurrentSince Dec 28, 2019 Accepting new patients
Radiologic Associates of Northern New Jersey, PA CurrentSince Dec 28, 2019 Accepting new patients
Radiology Associates of Hackettstown LLC CurrentSince Oct 1, 2019 Accepting new patients
The Radiology Group of New Jersey, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Donalsonville Hospital Inc CurrentSince Aug 7, 2011 Accepting new patients
MRI Associates of Hackettstown LLC CurrentSince Oct 1, 2019 Accepting new patients
Denville Diagnostics Imaging and Open MRI LLC CurrentSince Oct 7, 2019 Accepting new patients
Princeton Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Hackettstown Anesthesia Associates PastSince Oct 1, 2019 Accepting new patients
Pennsauken Imaging, LLC Diagnostic Radiology Past Accepting new patients
Princeton and Rutger Neurology, P.a. Past Accepting new patients
Garden State Magnetic Imaging, P.C. Past Accepting new patients
Bucks County Imaging Associates Inc Past Accepting new patients
Howard Kessler MD PA Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
South Mountain Imaging Diagnostic Radiology PastSince Oct 9, 2019 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Heights Imaging Associates, PA Diagnostic Radiology Past Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology PastSince May 25, 2021 Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
In House Radiology Medical Group Inc. Diagnostic Radiology Past Accepting new patients

Locations

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

975 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 778-8666

66 E Main St
Denville, NJ 07834

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

600 Mount Pleasant Ave
Ste G
Dover, NJ 07801
Phone (973) 729-0002

620 Cranbury Rd
Ste 10
East Brunswick, NJ 08816
Phone (732) 698-1717

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

657 Willow Grove St
Ste 205
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

530 Green St
Lowr
Iselin, NJ 08830
Phone (732) 326-1515

9 Centre Dr
Ste 130
Monroe Twp, NJ 08831
Phone (609) 395-7615

95 Madison Ave
Ste B03
Morristown, NJ 07960
Phone (973) 285-1446

222 High St
Ste 101
Newton, NJ 07860
Phone (973) 383-1280

1275 State Route 35
North Middletown, NJ 07748
Phone (732) 275-0999

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

89 Sparta Ave
Ste 110
Sparta, NJ 07871
Phone (973) 726-0498

89 Sparta Ave
Ste 120
Sparta, NJ 07871
Phone (973) 726-0002

1245 Whitehorse Mercerville Rd
Trenton, NJ 08619
Phone (609) 581-0001

601 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 238-0700

61 Main St
Ste A
West Orange, NJ 07052
Phone (973) 736-1680

Interoperability endpoints

  • Direct secure messaging: lisa.sheppard@pinkbreastcenter.chartmakerdirect.com

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083673479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PARK HILL TERRACE",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501944",
            "telephone_number": "908-284-2300",
            "fax_number": "908-442-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 111",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141526",
            "telephone_number": "973-977-6662",
            "fax_number": "973-341-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "LISA MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
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        {
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            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "MT",
            "license": "10311",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "NH",
            "license": "11256",
            "primary": false
        },
        {
            "code": "2085R0202X",
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            "license": "MA53519",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "179324-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "10485",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "PA",
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    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.