Lisa M Sirkin, BS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QAO6238 Issued in NJ

Practice address

388 Pompton Ave
Cedar Grove, NJ 07009-1814

Phone

(973) 228-0500

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lisa M Clausman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1720206949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ASPEN DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391434",
            "telephone_number": "201-679-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091814",
            "telephone_number": "973-228-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRKIN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QAO6238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLAUSMAN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "BS PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Seid, M.SLP CCC
• Ila H Shah
• Niki Shah
• Uma Sharma
• Michael Jay Shoobs, DMD
• Edward Michael Skibiak III, D.D.S.
• Smiles at Cedar Grove PC
• Heraldine Duevo Solomon, RPT
• Elise Chassen Sopov
• Daniella Alexis Sosa, OTR/L

• Physical Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.