Individual provider Active NPI

Lisa Ledden, NP

  • Family Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1376584474
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00030100 Issued in NJ
Practice address
26 Highway 35 N
Neptune, NJ 07753
Phone
(732) 456-7777
Fax
(848) 251-2189
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 26NJ00030100 NJ Primary

Addresses

Primary practice location

26 Highway 35 N
Neptune, NJ 07753

Mailing address

1580 Lakewood Rd Ste 16
Toms River, NJ 08755-3287
Phone (732) 456-7777

Other identifiers 3

IdentifierTypeStateIssuer
9925222OtherNJAETNA PPO
P5985339OtherNJOXFORD
1147464OtherNJAMERIGROUP

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
I20040116000384 NJ Practitioner - Nurse Practitioner 5890696488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
93.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00030100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Apr 1, 2018 Accepting new patients
Professional Allergy Associates P.a. Past Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

Locations

540 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-4545

200 Middlesex Tpke
Ste 206
Iselin, NJ 08830
Phone (732) 353-1727

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

242 Old New Brunswick Rd
Ste 110
Piscataway, NJ 08854

1580 Lakewood Rd
Ste 16A
Toms River, NJ 08755
Phone (732) 966-5493

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1376584474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGHWAY 35 N",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDEN",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00030100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9925222",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5985339",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1147464",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.