Active NPIIndividual provider

Ms. Lisa A Flatley, PA-C

Physician Assistant in Ridgewood, New Jersey

NPI Number1790177053
Practice location
1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937
Fax
—
Last updated
November 1, 2016

Lisa A. Flatley is a Physician Assistant based in Ridgewood, NJ. Lisa A. Flatley practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Lisa A. Flatley is 1790177053 and holds a License No. MP427 (NJ). The current practice location address for Lisa A. Flatley is 1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937 and can be reached out via phone at 908-522-2000.

Provider Profile Details

NPI Number
1790177053
Provider Name
Lisa A. Flatley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937
Phone Number
908-522-2000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2015
Last Update Date
November 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
Zip
07450-3937
Phone Number
908-522-2000
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1805 Hidden Pond Ln
Toms River, NJ 08755-1354
City
Toms River
State
NJ
Zip
08755-1354
Phone Number
732-349-6339

License Information

License Number
MP427
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Ms. Lisa A Flatley, PA-C?

The NPI number of Ms. Lisa A Flatley, PA-C is 1790177053. It was assigned on February 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa A Flatley, PA-C?

Ms. Lisa A Flatley, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number MP427.

Where does Ms. Lisa A Flatley, PA-C practice?

The practice location is 1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937. The office can be reached at 908-522-2000 (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 1790177053 directly on the NPPES registry website.

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