Active NPI
Trina Marie Lisko, DO
- Physical Medicine & Rehabilitation Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB0842700
- Practice address
- 352 S Delsea Dr Unit C
Vineland, NJ 08360-5308 - Phone
- (856) 690-1616
- Fax
- (856) 896-6107
- NPI assigned
- Apr 2, 2007
- Last updated
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS014298 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB0842700 | NJ | Primary |
Addresses
Primary practice location
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Mailing address
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Phone (856) 690-1616
Other practice location 1
556 Egg Harbor Rd
Suite A
Sewell, NJ 08080-2326
Phone (856) 589-0650
Other practice location 2
1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746
Phone (856) 690-1616 ext. 6021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102212120-0002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rowan University School of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
298 S Delsea Dr
Vineland, NJ 08360-4568
Phone (856) 690-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB0842700 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| United Therapy Centers, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Community Neurology Associates PC | Past | Accepting new patients |
Locations
1004 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (609) 662-7733
556 Egg Harbor Rd
Ste A
Sewell, NJ 08080
Phone (856) 286-2000
298 S Delsea Dr
Vineland, NJ 08360
Phone (356) 690-1616
352 S Delsea Dr
Unit C
Vineland, NJ 08360
Phone 8566901616 ext. 6021
1200 W Tabor Rd
Philadelphia, PA 19141
Phone (215) 456-9470
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630
Interoperability endpoints
- trina.lisko@poasnj.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1396812574
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Orthopaedic Surgery Physician
- Mullica Hill, NJ
- NPI 1457092611
-
dba Moss Rehab and Physical Medicine Associates
- Physical Medicine & Rehabilitation Physician
- Elkins Park, PA
- NPI 1104882786
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Neurology Physician
- Cherry Hill, NJ
- NPI 1205883782
-
- Physical Medicine & Rehabilitation Physician
- Feasterville, PA
- NPI 1033156641
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1457471377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 S DELSEA DR UNIT C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605308",
"telephone_number": "856-690-1616",
"fax_number": "856-896-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 S DELSEA DR UNIT C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605308",
"telephone_number": "856-690-1616",
"fax_number": "856-896-6107"
}
],
"practiceLocations": [
{
"address_1": "556 Egg Harbor Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080802326",
"country_code": "US",
"telephone_number": "856-589-0650",
"fax_number": "856-589-2720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Haddonfield Rd",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080022746",
"country_code": "US",
"telephone_number": "856-690-1616 x6021",
"fax_number": "856-896-6107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISKO",
"first_name": "TRINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS014298",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB0842700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102212120-0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.