Lisa D Gastan, CRNP
Nurse Practitioner, Family in Long Branch, New Jersey
1225665011- Practice location
- 300 2ND Ave, Long Branch, NJ 07740-6303
- Phone
- 732-923-6890
- Fax
- 732-923-6598
- Last updated
- April 28, 2025
Lisa Dawn Gastan is a Nurse Practitioner, Family based in Long Branch, NJ. Lisa Dawn Gastan practices in Long Branch, NJ and has the professional credentials of CRNP. The NPI Number for Lisa Dawn Gastan is 1225665011 and holds a License No. SP021652 (PA). The current practice location address for Lisa Dawn Gastan is 300 2ND Ave, Long Branch, NJ 07740-6303 and can be reached out via phone at 732-923-6890 and via fax at 732-923-6598.
Provider Profile Details
- NPI Number
- 1225665011
- Provider Name
- Lisa Dawn Gastan
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 2ND Ave, Long Branch, NJ 07740-6303
- Phone Number
- 732-923-6890
- Fax Number
- 732-923-6598
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2020
- Last Update Date
- April 28, 2025
- Certification Date
- April 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - City
- Long Branch
- State
- New Jersey
- Zip
- 07740-6303
- Phone Number
- 732-923-6890
- Fax Number
- 732-923-6598
Provider Business Mailing Address Details
- Address
- 200 Antego Dr
Elkton, MD 21921-2185 - City
- Elkton
- State
- MD
- Zip
- 21921-2185
- Phone Number
- 732-856-0919
License Information
- License Number (1)
- SP021652
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 26NJ15169800
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (3)
- LG-0001359
- License State (3)
- DE
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- License Number (4)
- AC004405
- License State (4)
- MD
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 D Gastan, CRNP?
The NPI number of Lisa D Gastan, CRNP is 1225665011. It was assigned on March 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Lisa D Gastan, CRNP?
Lisa D Gastan, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP021652.
Where does Lisa D Gastan, CRNP practice?
The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The office can be reached at 732-923-6890 (phone) or 732-923-6598 (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 1225665011 directly on the NPPES registry website.