Chantal Mulan Lisik, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08971700 Issued in NJ

Practice address

571 Central Ave Ste 104a
New Providence, NJ 07974

Phone

(908) 632-5172

Fax

(855) 822-3223

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overlook Medical Center Hospital, Summit, NJ, CCN 310051
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chantal.lisik.1@19339.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19339/brand/1/csg/1/fhir/r4

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.

• Lisik-Roberti Clinical Medicine LLC

  • Internal Medicine Physician
  • Clark, NJ
  • NPI 1316401516

  Single Specialty

  Medicare reassignment NPD Authorized official
• Alpha Health Associates LLC

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1104058460

  Single Specialty

  NPD (past)
• Medical Diagnostic Associates, PA

  • Non-Pharmacy Dispensing Site
  • Summit, NJ
  • NPI 1508128224
  NPD (past)

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

• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Overlook Hospital

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143
  Care Compare affiliation

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1275845729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 104A",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-632-5172",
            "fax_number": "855-822-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 104A",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "908-632-5172",
            "fax_number": "855-822-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Walnut Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "07066",
            "country_code": "US",
            "telephone_number": "908-868-6669",
            "fax_number": "855-822-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "608-522-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Mountain Blvd Ext Ste 209",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "07059",
            "country_code": "US",
            "telephone_number": "732-469-7290",
            "fax_number": "855-822-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Kent Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "07901",
            "country_code": "US",
            "telephone_number": "908-868-6669",
            "fax_number": "502-890-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISIK",
        "first_name": "CHANTAL",
        "middle_name": "MULAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08971700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Hone-Chung Lee, M.D.
• Janet Leicht, DPM
• Todd Owen Leventhal, M.D.
• Jane Lew, RPH
• Courtney Kay Linenberg, DDS
• Alexandra Nicole Little, LSW
• Nancy E. Livingston, MSW, LCSW
• Brittany Longo
• Ithamar Lopez Ramirez
• Monica Macauley

• Internal Medicine Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.

Verify at the official NPI Registry.