Scott Lisa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00526300 Issued in NJ

Practice address

757 US-202
Bridgewater, NJ 08807

Phone

(609) 394-6145

NPI assigned

Jun 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1326606252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHAWONDASEE RD",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221417",
            "telephone_number": "973-670-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 US-202",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "609-394-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISA",
        "first_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00526300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Lingua, M.D.
• Jin-Yuan Liou, MPT
• David A. Lipani, DMD
• John L Lipani, DMD
• Aiden Lipper, LCSW
• Megan Lisner, B.A.
• Colleen Little, D.O.
• William Littwin
• Joey Liu, MA/EDS
• Lucy Liu, L.AC., PHD, ND

• Physician Assistant in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.