Active NPI
Lisa C Sung
- Pharmacist
- Lake Hiawatha, NJ
National Provider Identifier
1184932097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02103400
- Practice address
- 480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511 - Phone
- (973) 334-4343
- Fax
- (973) 335-0738
- NPI assigned
- Sep 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02103400 | NJ | Primary |
Addresses
Primary practice location
480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511
Mailing address
480 North Beverwyck Road
Lake Hiawatha, NJ 07045
Phone (973) 334-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02103400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1184932097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 NORTH BEVERWYCK ROAD",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "07045",
"telephone_number": "973-334-4343",
"fax_number": "973-335-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 N BEVERWYCK RD",
"city": "LAKE HIAWATHA",
"state": "NJ",
"postal_code": "070342511",
"telephone_number": "973-334-4343",
"fax_number": "973-335-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "LISA",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02103400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Hiawatha, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.