NPIMap

Individual provider Active NPI

Lisa Adrian Kassenoff, D.O.

  • Family Medicine Physician
  • Forked River, NJ
National Provider Identifier
1912960436
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB07878100 Issued in NJ
Practice address
138 Rte 9 S
Forked River, NJ 08731-3625
Phone
(609) 756-0000
Fax
(609) 488-1613
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 MB07878100 NJ Primary

Addresses

Primary practice location

138 Rte 9 S
Forked River, NJ 08731-3625

Mailing address

138 Rte 9 S
Forked River, NJ 08731-3625
Phone (609) 756-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000126 NJ Practitioner - Family Practice 6204878556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

138 Route 9
Forked River, NJ 08731-3625
Phone (732) 244-2700

138 S Main St
Forked River, NJ 08731-3625
Phone (609) 693-9240

985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB07878100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Jun 2, 2014 Accepting new patients
Central Jersey Urgent Care CurrentSince May 1, 2018 Accepting new patients
Central Jersey Urgent Care CurrentSince May 1, 2018 Accepting new patients
Vincent Destasio DO LLC Family Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

6 Earlin Ave
Ste 140
Browns Mills, NJ 08015
Phone (609) 757-1717

730 Lacey Rd
Ste G8
Forked River, NJ 08731
Phone (609) 693-2000

138 S Main St
Forked River, NJ 08731
Phone (609) 693-7021

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

409 Main St
Toms River, NJ 08753
Phone (732) 557-6600

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: lisa.kassenoff@direct.hackensackmeridian.org

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1912960436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 RTE 9 S",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313625",
            "telephone_number": "609-756-0000",
            "fax_number": "609-488-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 RTE 9 S",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313625",
            "telephone_number": "609-756-0000",
            "fax_number": "609-488-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSENOFF",
        "first_name": "LISA",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB07878100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.