Active NPI
Lisa Ann Macgray, CMT
- Contractor
- Morristown, NJ
National Provider Identifier
1598991812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 26BT00134300
- Practice address
- 100 Madison Ave., Floor C
Changing Lifestyles
Morristown, NJ 07962 - Phone
- (973) 971-6301
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 26BT00134300 | NJ | Primary |
Addresses
Primary practice location
100 Madison Ave., Floor C
Changing Lifestyles
Morristown, NJ 07962
Mailing address
19 Indian Spring TRL
Denville, NJ 07834-2015
Phone (973) 879-1106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26BT00134300 | NJ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1598991812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 INDIAN SPRING TRL",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342015",
"telephone_number": "973-879-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE., FLOOR C",
"address_2": "CHANGING LIFESTYLES",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07962",
"telephone_number": "973-971-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGRAY",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "26BT00134300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.