Active NPI
Lisa George, APN
- Women's Health Clinical Nurse Specialist
- Jersey City, NJ
National Provider Identifier
1669936878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- 26NJ00574700
- Practice address
- 435 Central Ave
Jersey City, NJ 07307-2760 - Phone
- (201) 217-5600
- NPI assigned
- Jan 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 26NJ00574700 | NJ | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 26NJ00574700 | NJ | Primary |
Addresses
Primary practice location
435 Central Ave
Jersey City, NJ 07307-2760
Mailing address
15 Bowfell CT
Wayne, NJ 07470-2144
Phone (201) 841-9987
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 |
|---|---|---|---|
| 26NJ00574700 | NJ | MD | Women's Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1669936878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BOWFELL CT",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702144",
"telephone_number": "201-841-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072760",
"telephone_number": "201-217-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "26NJ00574700",
"primary": false
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "NJ",
"license": "26NJ00574700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.