Individual provider Active NPI

Lisa Altman, APRN, FNP-BC

  • Family Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1407578156
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01363400 Issued in NJ
Practice address
2106 New Rd Ste D4
Linwood, NJ 08221-1050
Phone
(609) 926-8899
Fax
(609) 926-6474
NPI assigned
Sep 19, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 26NJ01363400 NJ Primary

Addresses

Primary practice location

2106 New Rd Ste D4
Linwood, NJ 08221-1050

Mailing address

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone (609) 926-8899

Other practice location 1

175 Gunning River Rd Bldg E
Barnegat, NJ 08005-1436
Phone (609) 926-8899

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
I20230403000067 NJ Practitioner - Nurse Practitioner 5890160063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

2106 New Rd
Suite D1
Linwood, NJ 08221-1050
Phone (609) 926-8899

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
95.33
Promoting interoperability
86
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coyle S Connolly DO PA CurrentSince Jan 15, 2023 Accepting new patients

Locations

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

833 Lacey Rd
Ste F2
Forked River, NJ 08731

2106 New Rd
Ste D1
Linwood, NJ 08221
Phone (609) 927-9545

2106 New Rd
Ste D4
Linwood, NJ 08221
Phone (609) 926-6474

602 Route 72 E
Ste 1
Manahawkin, NJ 08050
Phone (609) 978-9870

108 Lacey Rd
Ste 38A
Whiting, NJ 08759

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1407578156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899",
            "fax_number": "856-772-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211050",
            "telephone_number": "609-926-8899",
            "fax_number": "609-926-6474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Gunning River Rd Bldg E",
            "address_purpose": "LOCATION",
            "city": "Barnegat",
            "state": "NJ",
            "postal_code": "080051436",
            "country_code": "US",
            "telephone_number": "609-926-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01363400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.