Active NPIIndividual providerSole proprietor

Lisa M Cannon, MD

Internal Medicine, Pulmonary Disease in Paramus, New Jersey

NPI Number1073562773
Practice location
501 N Rte 17, Paramus, NJ 07652-3000
Fax
201-979-1312
Last updated
October 27, 2025

Lisa M Cannon is an Internal Medicine, Pulmonary Disease based in Paramus, NJ. Lisa M Cannon practices in Paramus, NJ and has the professional credentials of MD. The NPI Number for Lisa M Cannon is 1073562773 and holds a License No. MA06901700 (NJ). The current practice location address for Lisa M Cannon is 501 N Rte 17, Paramus, NJ 07652-3000 and can be reached out via phone at 551-218-3790 and via fax at 201-979-1312.

Provider Profile Details

NPI Number
1073562773
Provider Name
Lisa M Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
501 N Rte 17, Paramus, NJ 07652-3000
Phone Number
551-218-3790
Fax Number
201-979-1312
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2006
Last Update Date
October 27, 2025
Certification Date
October 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 N Rte 17
Paramus, NJ 07652-3000
Zip
07652-3000
Phone Number
551-218-3790
Fax Number
201-979-1312
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
2105 Freeman Way
Allendale, NJ 07401-1780
City
Allendale
State
NJ
Zip
07401-1780
Phone Number
201-456-5367
Fax Number
201-979-1312

License Information

License Number (1)
MA06901700
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA06901700
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary
License Number (3)
MA69017
License State (3)
NJ
Taxonomy (3)
Specialist · 174400000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Cannon, MD?

The NPI number of Lisa M Cannon, MD is 1073562773. It was assigned on May 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa M Cannon, MD?

Lisa M Cannon, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NJ under license number MA06901700.

Where does Lisa M Cannon, MD practice?

The practice location is 501 N Rte 17, Paramus, NJ 07652-3000. The office can be reached at 551-218-3790 (phone) or 201-979-1312 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073562773 directly on the NPPES registry website.

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