Active NPI
Lisa Ferraro, MD
- Internal Medicine Physician
- Paterson, NJ
National Provider Identifier
1659302925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA050972
- Practice address
- 414 Broadway
Paterson, NJ 07501-2105 - Phone
- (973) 742-1761
- Fax
- (973) 742-2033
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA050972 | NJ | Primary |
Addresses
Primary practice location
414 Broadway
Paterson, NJ 07501-2105
Mailing address
414 Broadway
Paterson, NJ 07501-2105
Phone (973) 742-1761
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1658905 | Medicaid | NJ | |
| 29EB21 | Other | NJ | WELL CHOICE PROVIDER NUMB |
| J6378 | Other | NJ | HORIZON HMO BLUE PROVIDER |
| 25MA05097200ANE | Other | NJ | HEALTHFIRST |
| 90000300700 | Other | NJ | AMERICHOICE |
| 223425594 | Other | NJ | HORIZON PROVIDER ID NUMBE |
| 511952 | Other | NJ | UNITED HEALTHCARE |
| 01095174 | Other | NJ | AMERIGROUP |
| PP188 | Other | NJ | OXFORD PROVIDER NUMBER |
| 2864054001 | Other | NJ | AMERIHEALTH |
| 398184 | Other | NJ | WELLCARE |
| 5187199002 | Other | NJ | CIGNA HEALTH PLAN |
| 595703 | Other | NJ | AETNA PROVIDER NUMBER |
| 713681 | Other | NJ | HEALTH NET PROVIDER NUMBE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050972 | NJ | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1669400248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1659302925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075012105",
"telephone_number": "973-742-1761",
"fax_number": "973-742-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075012105",
"telephone_number": "973-742-1761",
"fax_number": "973-742-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA050972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1658905",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE PROVIDER NUMB",
"identifier": "29EB21",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HMO BLUE PROVIDER",
"identifier": "J6378",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "25MA05097200ANE",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "90000300700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON PROVIDER ID NUMBE",
"identifier": "223425594",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "511952",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01095174",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "PP188",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2864054001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "398184",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "5187199002",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "595703",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER NUMBE",
"identifier": "713681",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.