Lisik-Roberti Clinical Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LISIK-ROBERTI CLINICAL MEDICINE LLC

Practice address

67 Walnut Ave Ste 402
Clark, NJ 07066-1687

Phone

(732) 499-9110

Fax

(855) 822-3223

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Chantal Lisik, MDNPI 1275845729

Title

Owner/Provider

Phone

(908) 868-6669

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19339/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantal Mulan Lisik, M.D.

  • Internal Medicine Physician
  • New Providence, NJ
  • NPI 1275845729

  Single Specialty

  Medicare reassignment NPD Authorized official
• Paolo Augusto Salvatore, MD

  • Internal Medicine Physician
  • Clark, NJ
  • NPI 1043516636
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1316401516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE STE 402",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661687",
            "telephone_number": "732-499-9110",
            "fax_number": "855-822-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE STE 402",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661687",
            "telephone_number": "732-499-9110",
            "fax_number": "855-822-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Mountain Blvd Ext Ste 209",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595658",
            "country_code": "US",
            "telephone_number": "732-469-7290",
            "fax_number": "855-822-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISIK-ROBERTI CLINICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "LISIK",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "908-868-6669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandt Mitchell Levin, MD
• Allison Guttmann Lewis, MD
• David Lipow, PT DPT
• Alison Moors Lipshin, BCBA
• Victor Lisak, OT
• Little by Little Speech Therapy, LLC
• Michelle Lordello, BCBA
• Diana Lourenco
• Christina Danielle Luisi, PHARMD
• Richard Lukenda, D.M.D.

• Internal Medicine Physician in Clark, NJ
• Providers in Clark, 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 Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.