Individual provider Active NPI

Edward M Lysaght, LCSW

  • Clinical Social Worker
  • Phillipsburg, NJ
National Provider Identifier
1508898347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05232700 Issued in NJ
Practice address
90 Bullman St
Phillipsburg, NJ 08865-2332
Phone
(908) 387-9224
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05232700 NJ Primary

Addresses

Primary practice location

90 Bullman St
Phillipsburg, NJ 08865-2332

Mailing address

90 Bullman St
Phillipsburg, NJ 08865-2332
Phone (908) 387-9224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000227 NJ Practitioner - Clinical Social Worker 5698770048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic NJ LLCGroup PAC ID 6002306693, 3 clinicians

Practice addresses (Care Compare)

576 Central Ave
FL 3
East Orange, NJ 07018-1951
Phone (973) 320-7004

Hospital & facility affiliations

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Jul 2, 2024 Accepting new patients
Hunterdon Medical Center CurrentSince Jul 2, 2024 Accepting new patients
Senior Solutions Associates Clinical PastSince Apr 2, 2004 Accepting new patients

Locations

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

2100 Wescott Dr
Fl 5
Flemington, NJ 08822
Phone (908) 237-2315

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508898347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BULLMAN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652332",
            "telephone_number": "908-387-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BULLMAN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652332",
            "telephone_number": "908-387-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSAGHT",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05232700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.