Lisa Barisciano, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Florham Park, NJ
NPI 1265401699 · NPPES record last updated Jul 20, 2010
Key facts
- NPI
- 1265401699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MA075732 (NJ)
- Practice address
- 15 James Street
Florham Park, NJ 09732-1346 - Phone
- (973) 503-0600
- Fax
- (973) 503-0424
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA075732 | NJ | MD | Pediatric Allergy/Immunology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MA075732 | NJ | Yes |
| Pediatric Allergy/Immunology Physician | 2080P0201X | MA075732 | NJ |
Addresses
Primary practice location
15 James Street
Florham Park, NJ 09732-1346
Mailing address
15 James Street
Florham Park, NJ 09732-1346
Phone (973) 503-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEECH STREET | Other | NJ | 21247588446 |
| 0009335992 | Other | NJ | PHCS |
| 7736574 | Other | NJ | AETNA |
| P3238057 | Other | NJ | OXFORD |
| 2K6693 | Other | NJ | HEALTHNET |
| CIGNA | Other | NJ | 4786617 |
Other providers in Florham Park, NJ
- Amy Bailon
- Zubin Mickey Bamboat
- Banding Centers of America at Florham Park
- Judy L. Banks
- Bariatric Psychological Services
- Adrienne Barnave
- Melanie Barovick
- Be You Counseling LLC
- Ashley Beard
- Ashley Beaton-Joseph
All providers in Florham Park, NJ · Allergy & Immunology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.