Dr. Chantal M Lisik, MD
Internal Medicine in New Providence, New Jersey
1275845729- Practice location
- 571 Central Ave Ste 104A, New Providence, NJ 07974
- Phone
- 908-632-5172
- Fax
- 855-822-3223
- Last updated
- May 19, 2025
Chantal Mulan Lisik is an Internal Medicine based in New Providence, NJ. Chantal Mulan Lisik practices in New Providence, NJ and has the professional credentials of MD. The NPI Number for Chantal Mulan Lisik is 1275845729 and holds a License No. 25MA08971700 (NJ). The current practice location address for Chantal Mulan Lisik is 571 Central Ave Ste 104A, New Providence, NJ 07974 and can be reached out via phone at 908-632-5172 and via fax at 855-822-3223.
Provider Profile Details
- NPI Number
- 1275845729
- Provider Name
- Chantal Mulan Lisik
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 571 Central Ave Ste 104A, New Providence, NJ 07974
- Phone Number
- 908-632-5172
- Fax Number
- 855-822-3223
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 12, 2010
- Last Update Date
- May 19, 2025
- Certification Date
- May 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 571 Central Ave Ste 104A
New Providence, NJ 07974 - City
- New Providence
- State
- New Jersey
- Zip
- 07974
- Phone Number
- 908-632-5172
- Fax Number
- 855-822-3223
Provider Business Mailing Address Details
- Address
- 571 Central Ave Ste 104A
New Providence, NJ 07974-1547 - City
- New Providence
- State
- NJ
- Zip
- 07974-1547
- Phone Number
- 908-632-5172
- Fax Number
- 855-822-3223
License Information
- Taxonomy (1)
- General Acute Care Hospital · 282N00000X
- License Number (2)
- 25MA08971700
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
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 Dr. Chantal M Lisik, MD?
The NPI number of Dr. Chantal M Lisik, MD is 1275845729. It was assigned on July 12, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Chantal M Lisik, MD?
Dr. Chantal M Lisik, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08971700.
Where does Dr. Chantal M Lisik, MD practice?
The practice location is 571 Central Ave Ste 104A, New Providence, NJ 07974. The office can be reached at 908-632-5172 (phone) or 855-822-3223 (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 1275845729 directly on the NPPES registry website.