Lisa Genova

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00600100 Issued in NJ

Practice address

850 N Wood Ave
Linden, NJ 07036-4038

Phone

(908) 925-9309

Fax

(908) 925-7910

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Linden Family Medical LLC

  • Family Medicine Physician
  • Linden, NJ
  • NPI 1427095835
  Medicare reassignment NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1386017507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HILLCREST DR",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662921",
            "telephone_number": "732-397-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364038",
            "telephone_number": "908-925-9309",
            "fax_number": "908-925-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00600100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salomon Galimidi-Hodara, MD
• Laura Galloway, PA
• Ron Gambardella, PHD
• Vanessa Garcia
• Andrei-Angelo Berberabe Genio, OTR/L
• Suzanne Gentile, RPH
• Georgies Wood Avenue Inc (Georgies Specialty Pharmacy)
• Rokhsareh Ghaffari, DDS
• Mark Nashaat Ghobrial, DO
• Sumit Gogna

• Adult Health Nurse Practitioner in Linden, NJ
• Providers in Linden, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.