Charles Lisa, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA02872400 Issued in NJ

Practice address

2309 E Evesham Rd
Suite #202
Voorhees, NJ 08043-1559

Phone

(856) 489-1900

Fax

(856) 489-7945

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1518069996
  NPD (past)
• Cardiac Diagnostic Center of Southern New Jersey

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1255468922
  NPD (past)
• Cardiac Interpretation Services, LLC

  • Cardiovascular Disease Physician
  • Voorhees, NJ
  • NPI 1104908078
  NPD (past)
• Cardiovascular Associates of the Delaware Valley,P a

  • Cardiovascular Disease Physician
  • Haddon Heights, NJ
  • NPI 1366495632
  NPD (past)
• Lourdes Cardiology Services

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1417169772
  NPD (past)
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1811968316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E EVESHAM RD",
            "address_2": "SUITE #202",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431559",
            "telephone_number": "856-489-1900",
            "fax_number": "856-489-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E EVESHAM RD",
            "address_2": "SUITE #202",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431559",
            "telephone_number": "856-489-1900",
            "fax_number": "856-489-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISA",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02872400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas E Lind, M.D.
• Linda Barney St. Martin & Associates
• Lisa Liner, MD
• Ahila Lingappan, MD
• Lioudmila Lipetskaia, MD
• Madison Leigh Liss
• Katherine Rose Littleton
• Amy Q Liu, PTA
• Daniel Liu, M.D.
• Live Love Homecare LLC

• Cardiovascular Disease Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.