Individual provider Active NPI

Lisa Bryhn, MD

  • Family Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1689648651
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06460500 Issued in NJ
Practice address
1056 Stelton Rd
Piscataway, NJ 08854-4326
Phone
(732) 463-0303
Fax
(732) 463-2289
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06460500 NJ Primary

Addresses

Primary practice location

1056 Stelton Rd
Piscataway, NJ 08854-4326

Mailing address

28 Cherryville Hollow Rd
Flemington, NJ 08822-5526
Phone (908) 625-8867

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100918000032 NJ Practitioner - Family Practice 2860517562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06460500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Bryhn MD LLC CurrentSince Jan 5, 2023 Accepting new patients
Hunterdon Medical Center Family Medicine Past Accepting new patients

Locations

1056 Stelton Rd
Piscataway, NJ 08854
Phone (732) 463-0303

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1689648651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHERRYVILLE HOLLOW RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225526",
            "telephone_number": "908-625-8867",
            "fax_number": "732-463-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544326",
            "telephone_number": "732-463-0303",
            "fax_number": "732-463-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYHN",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06460500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.