Active NPIIndividual providerSole proprietor

Dr. Lisa C Daniels, MD

Internal Medicine in Montclair, New Jersey

NPI Number1538460498
Practice location
66 Park St Ste 100, Montclair, NJ 07042-2988
Fax
973-577-3011
Last updated
May 20, 2026

Lisa Cadoo Daniels is an Internal Medicine based in Montclair, NJ. Lisa Cadoo Daniels practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Lisa Cadoo Daniels is 1538460498 and holds a License No. 31816 (AL). The current practice location address for Lisa Cadoo Daniels is 66 Park St Ste 100, Montclair, NJ 07042-2988 and can be reached out via phone at 973-577-3010 and via fax at 973-577-3011.

Provider Profile Details

NPI Number
1538460498
Provider Name
Lisa Cadoo Daniels
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
66 Park St Ste 100, Montclair, NJ 07042-2988
Phone Number
973-577-3010
Fax Number
973-577-3011
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2010
Last Update Date
May 20, 2026
Certification Date
May 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Park St Ste 100
Montclair, NJ 07042-2988
Zip
07042-2988
Phone Number
973-577-3010
Fax Number
973-577-3011
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
66 Park St Ste 100
Montclair, NJ 07042-2988
City
Montclair
State
NJ
Zip
07042-2988
Phone Number
973-577-3010
Fax Number
973-577-3011

License Information

License Number (1)
31816
License State (1)
AL
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25ma09608400
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · 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 Dr. Lisa C Daniels, MD?

The NPI number of Dr. Lisa C Daniels, MD is 1538460498. It was assigned on November 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa C Daniels, MD?

Dr. Lisa C Daniels, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in AL under license number 31816.

Where does Dr. Lisa C Daniels, MD practice?

The practice location is 66 Park St Ste 100, Montclair, NJ 07042-2988. The office can be reached at 973-577-3010 (phone) or 973-577-3011 (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 1538460498 directly on the NPPES registry website.

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