Individual provider Active NPI

Lisa Ann Ospina, PA-C

  • Physician Assistant
  • Madison, NJ
National Provider Identifier
1215145495
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00154300 Issued in NJ
Practice address
345 Main St
Madison, NJ 07940-2339
Phone
(973) 377-6700
Fax
(973) 377-8008
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00154300 NJ Primary

Addresses

Primary practice location

345 Main St
Madison, NJ 07940-2339

Mailing address

345 Main St
Madison, NJ 07940-2339
Phone (973) 377-6700

Other names 1

  • Lisa Ann Rigalski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000149 NJ Practitioner - Physician Assistant 0446395503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical and Sports Rehabilitation L.L.CGroup PAC ID 2769381243, 11 clinicians

Practice addresses (Care Compare)

345 Main St
Madison, NJ 07940-2383
Phone (973) 377-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00154300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical and Sports Rehabilitation L.L.C Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1215145495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402339",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402339",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSPINA",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00154300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RIGALSKI",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.