Active NPIIndividual provider

Lisa Marie Degorostiza, APN

Nurse Practitioner, Adult Health in Hoboken, New Jersey

NPI Number1487048476
Practice location
124 Grand St, Hoboken, NJ 07030-2510
Fax
—
Last updated
September 22, 2016

Lisa Marie Degorostiza is a Nurse Practitioner, Adult Health based in Hoboken, NJ. Lisa Marie Degorostiza practices in Hoboken, NJ and has the professional credentials of APN. The NPI Number for Lisa Marie Degorostiza is 1487048476 and holds a License No. 26NJ00547600 (NJ). The current practice location address for Lisa Marie Degorostiza is 124 Grand St, Hoboken, NJ 07030-2510 and can be reached out via phone at 201-963-0300.

Provider Profile Details

NPI Number
1487048476
Provider Name
Lisa Marie Degorostiza
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
124 Grand St, Hoboken, NJ 07030-2510
Phone Number
201-963-0300
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2015
Last Update Date
September 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Grand St
Hoboken, NJ 07030-2510
Zip
07030-2510
Phone Number
201-963-0300
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
124 Grand St
Hoboken, NJ 07030-2510
City
Hoboken
State
NJ
Zip
07030-2510

License Information

License Number (1)
26NJ00547600
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
26NJ00547600
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X

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 Marie Degorostiza, APN?

The NPI number of Lisa Marie Degorostiza, APN is 1487048476. It was assigned on March 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Lisa Marie Degorostiza, APN?

Lisa Marie Degorostiza, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00547600.

Where does Lisa Marie Degorostiza, APN practice?

The practice location is 124 Grand St, Hoboken, NJ 07030-2510. The office can be reached at 201-963-0300 (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 1487048476 directly on the NPPES registry website.

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