Active NPIIndividual provider

Gina M Lisa, CCC-SLP

Speech-Language Pathologist, in Scotch Plains, New Jersey

NPI Number1487400727
Practice location
1801 E 2ND St, Scotch Plains, NJ 07076-1749
Fax
—
Last updated
April 26, 2024

Gina Marie Lisa is a Speech-Language Pathologist, based in Scotch Plains, NJ. Gina Marie Lisa practices in Scotch Plains, NJ and has the professional credentials of CCC-SLP. The NPI Number for Gina Marie Lisa is 1487400727 and holds a License No. 41YS01224800 (NJ). The current practice location address for Gina Marie Lisa is 1801 E 2ND St, Scotch Plains, NJ 07076-1749 and can be reached out via phone at 908-312-9476.

Provider Profile Details

NPI Number
1487400727
Provider Name
Gina Marie Lisa
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1801 E 2ND St, Scotch Plains, NJ 07076-1749
Phone Number
908-312-9476
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2024
Last Update Date
April 26, 2024
Certification Date
April 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1801 E 2ND St
Scotch Plains, NJ 07076-1749
Zip
07076-1749
Phone Number
908-312-9476
Scotch Plains, NJ 07076Get directions →

Provider Business Mailing Address Details

Address
77 Mckinley Ave
Lodi, NJ 07644-2920
City
Lodi
State
NJ
Zip
07644-2920
Phone Number
973-868-5610

License Information

License Number
41YS01224800
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · 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 Gina M Lisa, CCC-SLP?

The NPI number of Gina M Lisa, CCC-SLP is 1487400727. It was assigned on April 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Gina M Lisa, CCC-SLP?

Gina M Lisa, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01224800.

Where does Gina M Lisa, CCC-SLP practice?

The practice location is 1801 E 2ND St, Scotch Plains, NJ 07076-1749. The office can be reached at 908-312-9476 (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 1487400727 directly on the NPPES registry website.

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