Joseph L Lisella
Specialist/Technologist, Athletic Trainer in Jersey City, New Jersey
1366962466- Practice location
- 144 Grand St, Jersey City, NJ 07302-4431
- Phone
- 973-907-6428
- Fax
- —
- Last updated
- June 21, 2017
Joseph L Lisella is a Specialist/Technologist, Athletic Trainer based in Jersey City, NJ. Joseph L Lisella practices in Jersey City, NJ. The NPI Number for Joseph L Lisella is 1366962466 and holds a License No. 25MT00229000 (NJ). The current practice location address for Joseph L Lisella is 144 Grand St, Jersey City, NJ 07302-4431 and can be reached out via phone at 973-907-6428.
Provider Profile Details
- NPI Number
- 1366962466
- Provider Name
- Joseph L Lisella
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 144 Grand St, Jersey City, NJ 07302-4431
- Phone Number
- 973-907-6428
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 21, 2017
- Last Update Date
- June 21, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 144 Grand St
Jersey City, NJ 07302-4431 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302-4431
- Phone Number
- 973-907-6428
Provider Business Mailing Address Details
- Address
- 101 Pier Ln
Fairfield, NJ 07004-2110 - City
- Fairfield
- State
- NJ
- Zip
- 07004-2110
- Phone Number
- 973-907-6428
License Information
- License Number
- 25MT00229000
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Joseph L Lisella?
The NPI number of Joseph L Lisella is 1366962466. It was assigned on June 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Joseph L Lisella?
Joseph L Lisella is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00229000.
Where does Joseph L Lisella practice?
The practice location is 144 Grand St, Jersey City, NJ 07302-4431. The office can be reached at 973-907-6428 (phone).
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 1366962466 directly on the NPPES registry website.