Lisa Marie Degorostiza, A.P.N

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00547600 Issued in NJ

Practice address

124 Grand St
Hoboken, NJ 07030-2510

Phone

(201) 963-0300

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1487048476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302510",
            "telephone_number": "201-963-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOROSTIZA",
        "first_name": "LISA MARIE",
        "credential": "A.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00547600",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00547600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina De Lucia, LPC
• Meron Debesai, MD
• Emma Debole
• Corryn Defazio
• Donna Maria Degiovine, APN
• Jessica I Deleon, PA-C
• Dagmar Delgado, APN
• Joseph Delgiodice
• Courtney M Demaio, MSW
• Angelo Albert Demarco, M.D.

• Adult Health Nurse Practitioner in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.