Individual provider Active NPI

Lisa Danielle Noto-Carrion

  • Sports Physician Chiropractor
  • Hackensack, NJ
National Provider Identifier
1467407437
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00522600 Issued in NJ
Practice address
335A Main St
Hackensack, NJ 07601-5804
Phone
(201) 489-3400
Fax
(201) 489-3411
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38MC00522600 NJ Primary

Addresses

Primary practice location

335A Main St
Hackensack, NJ 07601-5804

Mailing address

335A Main St
Hackensack, NJ 07601-5804
Phone (201) 489-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060608000041 NJ Practitioner - Chiropractic 7618989740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health Center, P CGroup PAC ID 5698900728, 2 clinicians

Practice addresses (Care Compare)

335 A Main St
Hackensack, NJ 07601-5826
Phone (201) 489-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Center, P.C. Sports Physician CurrentSince Feb 8, 2000 Accepting new patients

Locations

335A Main St
Hackensack, NJ 07601
Phone (201) 343-8974

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1467407437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335A MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015804",
            "telephone_number": "201-489-3400",
            "fax_number": "201-489-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335A MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015804",
            "telephone_number": "201-489-3400",
            "fax_number": "201-489-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO-CARRION",
        "first_name": "LISA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00522600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.