Lisa M Gundersen, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MP00018200 Issued in NJ

Practice address

50 Cherry Hill Road
Suite 303
Parsippany, NJ 07054

Phone

(973) 335-8500

Fax

(973) 335-8429

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1508051129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL ROAD",
            "address_2": "SUITE 303",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-335-8500",
            "fax_number": "973-335-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL ROAD",
            "address_2": "SUITE 303",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-335-8500",
            "fax_number": "973-335-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSEN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MP00018200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Grimes, MA, LAC
• Cynthia S Grimm, LCSW
• Kathryn Giles Groll, CNM, PMHNP-BC, DNP
• Michael Gruber, DMD
• Lisa Marie Guillod, LCSW
• Sydney Gusciora, LCSW
• Julie Gustafson, DPT
• Kathy Christine Gvardijan, LPC
• H & D Sonography
• Joseph Haimson, DDS.

• Obstetrics & Gynecology Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.