Individual provider Active NPI

Lisa Ann Papadopoulos, FNP

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1265114813
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14874800 Issued in NJ
Practice address
3608 Oak Rd
Vineland, NJ 08360-9235
Phone
(856) 889-9182
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14874800 NJ Primary

Addresses

Primary practice location

3608 Oak Rd
Vineland, NJ 08360-9235

Mailing address

3608 Oak Rd
Vineland, NJ 08360-9235
Phone (856) 889-9182

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
I20240118003474 NJ Practitioner - Nurse Practitioner 2860844412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1865 Marlton Pike E
Penn Palliative Care Cherry Hill
Cherry Hill, NJ 08003-2005
Phone (856) 429-1519

1865 Route 70 E
Suite 220 Abramson Cancer Center Cherry Hi
Cherry Hill, NJ 08003-2013
Phone (856) 429-1519

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14874800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC Current Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Dec 22, 2023 Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Dec 22, 2023 Accepting new patients

Locations

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5 Plainsboro Rd
Ste 540
Plainsboro, NJ 08536
Phone (609) 853-6590

200 Bowman Dr
Ste E125
Voorhees, NJ 08043
Phone (856) 336-2641

Organizations & group practices 6

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 3

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1265114813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 OAK RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083609235",
            "telephone_number": "856-889-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 OAK RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083609235",
            "telephone_number": "856-889-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14874800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.