Individual provider Active NPI

Lisa Marie Ryan, APN, FNP-C

  • Family Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1316342843
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00527800 Issued in NJ
Practice address
30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322
Phone
(732) 542-2992
Fax
(732) 542-2992
NPI assigned
Oct 27, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00527800 NJ Primary

Addresses

Primary practice location

30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

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
I20141219001780 NJ Practitioner - Nurse Practitioner 8022331271 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

200 Wyckoff Rd
Eatontown, NJ 07724-1921
Phone (888) 724-7123

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2023 Accepting new patients
Rwjbh Primary Care Services CurrentSince Oct 2, 2021 Accepting new patients
Allied Digestive Health, LLC CurrentSince Aug 1, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 30, 2022 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 6, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 30, 2022 Accepting new patients
Ima Urgent Care Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

145 Wyckoff Rd
Ste 301
Eatontown, NJ 07724
Phone (732) 222-0180

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

19 Davis Ave
Neptune City, NJ 07753
Phone (732) 263-7999

1945 Corlies Ave
Neptune City, NJ 07753
Phone (732) 776-4203

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1907 Highway 35
Ste 1A
Oakhurst, NJ 07755
Phone (732) 517-0060

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: lisa.ryan.1@24721.direct.athenahealth.com
  • Direct secure messaging: lisa.ryan@direct.hackensackmeridian.org

Organizations & group practices 9

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1316342843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHREWSBURY PLZ",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024322",
            "telephone_number": "732-542-2992",
            "fax_number": "732-542-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00527800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.