Individual provider Active NPI

Lisa Ann Shultz, M.D

  • Neurology Physician
  • Hamilton, NJ
National Provider Identifier
1811901903
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA07709400 Issued in NJ
Practice address
396 White Horse Ave
Hamilton, NJ 08610-1431
Phone
(609) 585-0118
Fax
(609) 585-0244
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA07709400 NJ Primary

Addresses

Primary practice location

396 White Horse Ave
Hamilton, NJ 08610-1431

Mailing address

396 White Horse Ave
Hamilton, NJ 08610-1431
Phone (609) 585-0118

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Management Group, Inc Past Accepting new patients
The Wellness Center Past Accepting new patients
Freehold Observationalist Physicians, PC Past Accepting new patients
Lourdes Medical Associates PA Neurology Past Accepting new patients

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1811901903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101431",
            "telephone_number": "609-585-0118",
            "fax_number": "609-585-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101431",
            "telephone_number": "609-585-0118",
            "fax_number": "609-585-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07709400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.