Active NPI
Lisa May Defalco, D.O.
- Obstetrics & Gynecology Physician
- Hackettstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MB077754
- Practice address
- 653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732 - Phone
- (908) 852-7770
- Fax
- (908) 852-7755
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MB077754 | NJ | Primary |
Addresses
Primary practice location
653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732
Mailing address
653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732
Phone (908) 852-7770
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
108 Bilby Rd
Suite 303
Hackettstown, NJ 07840-4174
Phone (908) 852-7770
16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB077754 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
653 Willow Grove St
Ste 2200
Hackettstown, NJ 07840
Phone (908) 441-1404
99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
-
dba CCHS OB/GYN
- Obstetrics & Gynecology Physician
- Newark, DE
- NPI 1376528729
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Saint Clare's Hospital
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659478691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 WILLOW GROVE ST",
"address_2": "SUITE 2200",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078401732",
"telephone_number": "908-852-7770",
"fax_number": "908-852-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 WILLOW GROVE ST",
"address_2": "SUITE 2200",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078401732",
"telephone_number": "908-852-7770",
"fax_number": "908-852-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFALCO",
"first_name": "LISA",
"middle_name": "MAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MB077754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.