Lisa B Lichtman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB05357200 Issued in NJ

Practice address

728 Marne Hwy Ste 100B
Moorestown, NJ 08057-3128

Phone

(856) 235-6600

Fax

(856) 235-6610

NPI assigned

Jan 17, 2006

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 identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
• Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
• Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: llichtman167343@directvirtua.org

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Mount Holly, NJ
  • NPI 1851841696
  NPD
• Rowansom Dept of Pediatrics

  • Pediatrics Physician
  • Sewell, NJ
  • NPI 1275503203
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emerest Certified Home Health Care of South Jersey LLC

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1871391193
  Care Compare affiliation
• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation
• Virtua Our Lady of Lourdes Hospital Inc

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1235134024
  Care Compare affiliation
• Virtua Willingboro Hospital Inc

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1851371967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 MARNE HWY STE 100B",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573128",
            "telephone_number": "856-235-6600",
            "fax_number": "856-235-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Eves Dr",
            "address_2": "Bldg 1 Suite 109",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533125",
            "country_code": "US",
            "telephone_number": "856-596-8880",
            "fax_number": "856-596-8687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTMAN",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB05357200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2237105",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llichtman167343@directvirtua.org",
            "affiliation": "N",
            "address_1": "728 Marne Hwy Ste 100B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sanan Luise Levin, MD
• Megan Lew
• Jay Lewe, MPT
• LHCG Ccix, LLC
• LHCG Ccxi, LLC
• Life Focus Center a NJ Nonprofit
• Nikita Vishnu Limaye, PA-C
• Christopher Paul Lorah, PH.D.
• Andrew Lotocki, PT, DPT
• Lourdes Medical Associates, PA

• Family Medicine Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.

Verify at the official NPI Registry.