Individual provider Active NPI

Lisa Paul, APRN

  • Family Medicine Physician
  • Berlin, NJ
National Provider Identifier
1841777976
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00821600 Issued in NJ
Practice address
15 E Taunton Ave
Berlin, NJ 08009-1622
Phone
(856) 767-0320
Fax
(856) 768-1080
NPI assigned
Jul 21, 2018
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 26NJ00821600 NJ Primary

Addresses

Primary practice location

15 E Taunton Ave
Berlin, NJ 08009-1622

Mailing address

15 E Taunton Ave
Berlin, NJ 08009-1622
Phone (856) 767-0320

Other identifiers 1

IdentifierTypeStateIssuer
1841777976MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://static.practicefusion.com/apps/ehr/index.html#/PF/messaging/inbox Direct

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
I20181018003033 NJ Practitioner - Nurse Practitioner 7517210636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senacare LLCGroup PAC ID 6103257571, 21 clinicians

Practice addresses (Care Compare)

15 E Taunton Ave
Berlin, NJ 08009-1622
Phone (215) 551-6080

507 Mullica Hill Rd
Mullica Hill, NJ 08062-2665
Phone (609) 455-1576

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Sep 19, 2022 Accepting new patients
Senacare, LLC CurrentSince Sep 19, 2022 Accepting new patients
Robert J Maro MD PA CurrentSince Jan 11, 2021 Accepting new patients
Integrated Family Medicine, LLC PastSince Dec 1, 2006 Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients

Locations

15 E Taunton Ave
Berlin, NJ 08009
Phone (609) 767-0320

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1841777976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E TAUNTON AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091622",
            "telephone_number": "856-767-0320",
            "fax_number": "856-760-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E TAUNTON AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091622",
            "telephone_number": "856-767-0320",
            "fax_number": "856-768-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00821600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841777976",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html#/PF/messaging/inbox",
            "affiliation": "N",
            "endpointDescription": "practice fusion",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 E Taunton Ave",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080091622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.