Active NPIIndividual providerSole proprietor

Lisa Cossaboon

Nurse Practitioner, Family in Sewell, New Jersey

NPI Number1437892981
Practice location
372 Egg Harbor RD Ste 4A, Sewell, NJ 08080-1988
Fax
856-497-5207
Last updated
July 14, 2025

Lisa Cossaboon is a Nurse Practitioner, Family based in Sewell, NJ. Lisa Cossaboon practices in Sewell, NJ. The NPI Number for Lisa Cossaboon is 1437892981 and holds a License No. 26Nj01294300 (NJ). The current practice location address for Lisa Cossaboon is 372 Egg Harbor RD Ste 4A, Sewell, NJ 08080-1988 and can be reached out via phone at 856-218-5900 and via fax at 856-497-5207.

Provider Profile Details

NPI Number
1437892981
Provider Name
Lisa Cossaboon
Provider Entity Type
Individual
Gender
Female
Address
372 Egg Harbor RD Ste 4A, Sewell, NJ 08080-1988
Phone Number
856-218-5900
Fax Number
856-497-5207
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2022
Last Update Date
July 14, 2025
Certification Date
July 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
372 Egg Harbor RD Ste 4A
Sewell, NJ 08080-1988
City
Sewell
Zip
08080-1988
Phone Number
856-218-5900
Fax Number
856-497-5207
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
134 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2616
City
Mullica Hill
State
NJ
Zip
08062-2616
Phone Number
856-507-2783

License Information

License Number
26Nj01294300
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

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 Cossaboon?

The NPI number of Lisa Cossaboon is 1437892981. It was assigned on April 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Lisa Cossaboon?

Lisa Cossaboon is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26Nj01294300.

Where does Lisa Cossaboon practice?

The practice location is 372 Egg Harbor RD Ste 4A, Sewell, NJ 08080-1988. The office can be reached at 856-218-5900 (phone) or 856-497-5207 (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 1437892981 directly on the NPPES registry website.

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