NPIMap

Individual provider Active NPI

Lisa A Rink, D.O.

  • Internal Medicine Physician
  • Haddon Heights, NJ
National Provider Identifier
1437101623
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06921100 Issued in NJ
Practice address
217 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone
(856) 572-1115
Fax
(856) 672-9111
NPI assigned
May 16, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB06921100 NJ Primary

Addresses

Primary practice location

217 White Horse Pike
Haddon Heights, NJ 08035-1703

Mailing address

PO Box 1338
Bellmawr, NJ 08099-5338
Phone (856) 229-2217

Other identifiers 1

IdentifierTypeStateIssuer
8063109MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000806 NJ Practitioner - Internal Medicine 7012986714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

217 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone (856) 672-1115

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Rink Family Medicine LLC Internal Medicine CurrentSince May 1, 2003 Accepting new patients

Locations

217 White Horse Pike
Haddon Hts, NJ 08035
Phone (856) 547-1212

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Transcend Hospice and Palliative CareSewell, NJ, CCN 311582 Hospice 5% Or Greater Direct Ownership Interest (33%)
Corporate Officer
Corporate Director		 Oct 20, 2011
Oct 20, 2011
Oct 20, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Regal Heart Hospice Corporation

    dba Transcend Hospice and Palliative Care

    • Community Based Hospice Care Agency
    • Cherry Hill, NJ
    • NPI 1083963748

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

    CMS ownership

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1437101623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080995338",
            "telephone_number": "856-229-2217",
            "fax_number": "856-672-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-572-1115",
            "fax_number": "856-672-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINK",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06921100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8063109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.