Active NPI
Lisa Marie Sheppard, MD
- Diagnostic Radiology Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD044023E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02636560 | Medicaid | NY | |
| 001969572 | Medicaid | PA | |
| 7314701 | Medicaid | NJ | |
| 2863049 | Medicaid | OH | |
| 0157457 00 | Medicaid | MD | |
| 015745700 | Medicaid | MD | |
| 200262470 A | Medicaid | OK | |
| 200933310 | Medicaid | IN | |
| 1451789 | Medicaid | LA | |
| 7100070710 | Medicaid | KY | |
| 7725960 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8820 | ID | MD | Marriage & Family Therapist |
| 039123 | CT | MD | Diagnostic Radiology Physician |
| CI0007032 | DE | MD | Diagnostic Radiology Physician |
| ME75363 | FL | MD | Diagnostic Radiology Physician |
| M8820 | ID | MD | Diagnostic Radiology Physician |
| 01048566A | IN | MD | Diagnostic Radiology Physician |
| 209589 | MA | MD | Diagnostic Radiology Physician |
| 00057528 | MD | MD | Diagnostic Radiology Physician |
| 015679 | ME | MD | Diagnostic Radiology Physician |
| 0474456 | MI | MD | Diagnostic Radiology Physician |
| 10311 | MT | MD | Diagnostic Radiology Physician |
| 11256 | NH | MD | Diagnostic Radiology Physician |
| MA53519 | NJ | MD | Diagnostic Radiology Physician |
| 179324-1 | NY | MD | Diagnostic Radiology Physician |
| 10485 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Touch Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| East Brunswick Open Upright MRI LLC | Current | Accepting new patients | |
| Newton Imaging P.a. | Current | Accepting new patients | |
| Womens Diagnostic Center, P.a. | Current | Accepting new patients | |
| Open MRI Radiology LLC | Current | Accepting new patients | |
| Middletown Ventures Associates LLC | Current | Accepting new patients | |
| West Orange Radiology, LLC | Current | Accepting new patients | |
| Richard J Claps M.D. & Associates P.a. | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Associates of Northern New Jersey, PA | Current | Accepting new patients | |
| Radiology Associates of Hackettstown LLC | Current | Accepting new patients | |
| The Radiology Group of New Jersey, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| MRI Associates of Hackettstown LLC | Current | Accepting new patients | |
| Denville Diagnostics Imaging and Open MRI LLC | Current | Accepting new patients | |
| Princeton Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Hackettstown Anesthesia Associates | Past | 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 | Past | Accepting new patients |
| Monmouth Digestive Health LLC | Past | Accepting new patients | |
| Heights Imaging Associates, PA | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Past | 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
- 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.
-
- Radiology Clinic/Center
- Denville, NJ
- NPI 1235245119
-
- Radiology Clinic/Center
- East Brunswick, NJ
- NPI 1689619546
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Hackettstown, NJ
- NPI 1528394921
-
- Radiology Clinic/Center
- Newton, NJ
- NPI 1417988841
-
- Diagnostic Radiology Physician
- Paterson, NJ
- NPI 1558523316
-
- Radiology Clinic/Center
- Hackettstown, NJ
- NPI 1407069925
-
- Radiology Clinic/Center
- West Orange, NJ
- NPI 1558711481
-
- Radiology Clinic/Center
- Morristown, NJ
- NPI 1356692925
-
- Radiology Clinic/Center
- Middletown, NJ
- NPI 1235170358
-
- Radiology Clinic/Center
- Iselin, NJ
- NPI 1760426589
-
- Radiology Clinic/Center
- Newton, NJ
- NPI 1255362547
-
- Radiology Clinic/Center
- Morristown, NJ
- NPI 1699857664
Diagnostic Radiology
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": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "039123",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "209589",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME75363",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "CI0007032",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M8820",
"primary": false
},
{
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"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01048566A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "015679",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "00057528",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
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"state": "MI",
"license": "0474456",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MT",
"license": "10311",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "11256",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"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
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD044023E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02636560",
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},
{
"code": "05",
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"issuer": null,
"identifier": "001969572",
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},
{
"code": "05",
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"issuer": null,
"identifier": "7314701",
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},
{
"code": "05",
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"issuer": null,
"identifier": "2863049",
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},
{
"code": "05",
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"issuer": null,
"identifier": "0157457 00",
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"code": "05",
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"issuer": null,
"identifier": "015745700",
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{
"code": "05",
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"issuer": null,
"identifier": "200933310",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1451789",
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},
{
"code": "05",
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"issuer": null,
"identifier": "7100070710",
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},
{
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],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.