Individual provider Active NPI

Lisa B Butler, RN, APN

  • Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1649368648
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00047700 Issued in NJ
Practice address
11 Bishop PL
New Brunswick, NJ 08901-1178
Phone
(848) 932-7402
Fax
(848) 932-1525
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00047700 NJ Primary

Addresses

Primary practice location

11 Bishop PL
New Brunswick, NJ 08901-1178

Mailing address

11 Bishop PL
New Brunswick, NJ 08901-1178
Phone (848) 932-7402

Other identifiers 6

IdentifierTypeStateIssuer
010006349 00OtherNJAMERICHOICE
60030097OtherNJHORIZON NJ HEALTH
P00198287OtherNJRR MEDICARE
0030490MedicaidNJ
2566254OtherNJUNIVERSITY HEALTH PLAN
3K6810OtherNJHEALTHNET

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000151 NJ Practitioner - Nurse Practitioner 0446150221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.49
Promoting interoperability
100
Improvement activities
40
Cost
82.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Urgent Care, PC CurrentSince Dec 25, 2013 Accepting new patients
Cooper Univeristy Emergency Physicians, PC CurrentSince May 15, 2004 Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

175 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 536-1640

195 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 735-6700

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1649368648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "848-932-7402",
            "fax_number": "848-932-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "848-932-7402",
            "fax_number": "848-932-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00047700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010006349  00",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60030097",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00198287",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030490",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "2566254",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K6810",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.