Active NPI
Lisa Paul, APRN
- Family Medicine Physician
- Berlin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26NJ00821600
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841777976 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senacare, LLC | Current | Accepting new patients | |
| Senacare, LLC | Current | Accepting new patients | |
| Robert J Maro MD PA | Current | Accepting new patients | |
| Integrated Family Medicine, LLC | Past | 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.
-
- Internal Medicine Physician
- Mullica Hill, NJ
- NPI 1104447127
-
- Family Medicine Physician
- Berlin, NJ
- NPI 1124771316
-
- Internal Medicine Physician
- Cherry Hill, NJ
- NPI 1952342743
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1023989837
-
dba Relievus
- Interventional Pain Medicine Physician
- Hammonton, NJ
- NPI 1730359084
-
- Adult Medicine Physician
- Marlton, NJ
- NPI 1144312703
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
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
- Maureen Reilly Papke
- Pratima D Parikh, M.D.
- Partners in Primary Care Inc
- Jack Brett Passarella, LMT
- Patricia Ann Spiegel DC LLC (Berlin Chiropractic)
- Santandria Pean
- Personalized Independent Living Opportunities and Training Services
- Personalized Independent Living Opportunities and Training Services (P.I.L.O.T. Services)
- Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
- Personalized Independent Living Opporuntities & Training Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.