Individual provider Active NPI

Lisa Ann Martin, D.O.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1427050665
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0005747 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Jun 1, 2005
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0058234 MD
Family Medicine Physician 207Q00000X C2-0005747 DE Primary

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

201 Laurel Rd
Millsboro, DE 19966-1732
Phone (302) 934-7344

Other practice location 1

201 Laurel Rd
Millsboro, DE 19966-1732
Phone (302) 934-7344

Other practice location 2

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Other identifiers 12

IdentifierTypeStateIssuer
6697853OtherDECIGNA
020607715OtherDEBDBSDE
890562OtherDEMAMSI
187037OtherDECOVENTRY
2208964001OtherDEAMERIHEALTH
2273904OtherDEAETNA
23227OtherDEJOHNS HOPKINS
INFORMEDOtherDE020607715
1822385OtherDEUNITED
S4540001OtherDEDELMARVA HEALTH
15039OtherDEMIDATLANTIC
080189947OtherDERRB PALMETTO

Other names 1

  • Mrs. Lisa Ann Lennon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ, PA, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101027000243 DE Practitioner - Family PracticePractitioner - Internal Medicine 5799775466 Reassigns benefits to 2 organizations
I20170531000059 NJ Practitioner - Family PracticePractitioner - Emergency Medicine 5799775466 Reassigns benefits to 1 organization
I20170605001566 PA Practitioner - Emergency Medicine 5799775466 Reassigns benefits to 1 organization
I20250226000297 MD Practitioner - Family Practice 5799775466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

1 Chestnut Hill PLZ
Suite C
Newark, DE 19713-2761
Phone (302) 455-2730

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

360 Buckley Mill Rd
Suite B
Greenville, DE 19807-3035
Phone (302) 299-1001

3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone (302) 267-7534

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Aug 10, 2013 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 3, 2020 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 25, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 25, 2017 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress, Inc. - Delaware Family Medicine CurrentSince Aug 10, 2013 Accepting new patients
Millsboro Family Practice, P.a. Family Medicine PastSince Nov 1, 2002 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

1 Chestnut Hill Plz
Ste C
Newark, DE 19713
Phone (302) 266-0930

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1751 Earl L Core Rd
Morgantown, WV 26505
Phone (304) 255-2500

Interoperability endpoints

  • Direct secure messaging: lisa.martin@ghuccc.eclinicaldirectplus.com

Organizations & group practices 10

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1427050665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAUREL RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661732",
            "telephone_number": "302-934-7344",
            "fax_number": "302-934-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199661732",
            "country_code": "US",
            "telephone_number": "302-934-7344",
            "fax_number": "302-934-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0058234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0005747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6697853",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BDBSDE",
            "identifier": "020607715",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "890562",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "187037",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2208964001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2273904",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "23227",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "020607715",
            "identifier": "INFORMED",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1822385",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELMARVA HEALTH",
            "identifier": "S4540001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDATLANTIC",
            "identifier": "15039",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PALMETTO",
            "identifier": "080189947",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LENNON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.