Individual provider Active NPI

Lisa A. Varisco, M.S., PA-C

  • Medical Physician Assistant
  • Morristown, NJ
National Provider Identifier
1679886899
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00240400 Issued in NJ
Practice address
310 Madison Ave
Suite 300
Morristown, NJ 07960-6967
Phone
(973) 285-7800
Fax
(973) 285-7809
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 25MP00240400 NJ Primary

Addresses

Primary practice location

310 Madison Ave
Suite 300
Morristown, NJ 07960-6967

Mailing address

310 Madison Ave
Suite 300
Morristown, NJ 07960-6967
Phone (973) 285-7800

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
I20110215001115 NJ Practitioner - Physician Assistant 3072793520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Emergency Medical Associates LLCGroup PAC ID 3678735057, 31 clinicians

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1679886899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-285-7800",
            "fax_number": "973-285-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-285-7800",
            "fax_number": "973-285-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARISCO",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00240400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.