Active NPI
Lisa Chang Schlussel, D.O.
- Family Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64504
- Practice address
- 1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Oct 23, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64504 | CT | Primary |
| Family Medicine Physician | 207Q00000X | 25MB13131200 | NJ | |
| Family Medicine Physician | 207Q00000X | 340935 | NY |
Addresses
Primary practice location
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Mailing address
109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520
Other names 1
- Lisa Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- 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
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
109 State St
Suite 5
Boston, MA 02109-2103
41 Frontier Rd
Cos Cob, CT 06807-1208
4400 Bayou Blvd
Suite 32B
Pensacola, FL 32503-1903
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64504 | CT | MD | Family Medicine Physician |
| 25MB13131200 | NJ | MD | Family Medicine Physician |
| 340935 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Family Medicine | Current | Accepting new patients |
Locations
1500 Post Rd
Ste 100
Darien, CT 06820
Phone (203) 655-8749
1500 Post Rd
Darien, CT 06820
Phone (203) 276-4282
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
Interoperability endpoints
- lschlussel24370@stamfordhealth.direct-ci.com
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 2
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.
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
Family Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1538564323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST STE 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GATEWAY CTR STE 2600",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071025323",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLUSSEL",
"first_name": "LISA",
"middle_name": "CHANG",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "64504",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB13131200",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "340935",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "CHANG",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.