Active NPIOrganization

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC

General Practice in Wayne, New Jersey

NPI Number1851072037
Practice location
504 Hamburg Tpke Ste 202B, Wayne, NJ 07470-2011
Fax
—
Last updated
July 31, 2023

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is a healthcare organization based in Wayne, NJ. Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC practices in Wayne, NJ. The NPI Number for Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is 1851072037. The current practice location address for Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is 504 Hamburg Tpke Ste 202B, Wayne, NJ 07470-2011 and can be reached out via phone at 551-316-7740.

Provider Profile Details

NPI Number
1851072037
Provider Name
Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC
Provider Entity Type
Organization
Address
504 Hamburg Tpke Ste 202B, Wayne, NJ 07470-2011
Phone Number
551-316-7740
Primary Taxonomy
General Practice · 208D00000X
Organization Subpart
No
Authorized Official
Dr. Lisa Marie Campanella-Coppo, MD · Owner · 551-316-7740
Other Names
Functional Medicine And Wellness, PC (Doing Business As)
Provider Enumeration Date
July 31, 2023
Last Update Date
July 31, 2023
Certification Date
July 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
504 Hamburg Tpke Ste 202B
Wayne, NJ 07470-2011
City
Wayne
Zip
07470-2011
Phone Number
551-316-7740
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
637 Wyckoff Ave Ste 383
Wyckoff, NJ 07481-1438
City
Wyckoff
State
NJ
Zip
07481-1438
Phone Number
551-316-7740

License Information

Taxonomy
General Practice · 208D00000X · 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 M. Campanella-Coppo, MD Functional Medicine & Wellness, PC?

The NPI number of Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is 1851072037. It was assigned on July 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC?

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is registered under the primary taxonomy General Practice (code 208D00000X).

Where does Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC practice?

The practice location is 504 Hamburg Tpke Ste 202B, Wayne, NJ 07470-2011. The office can be reached at 551-316-7740 (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 1851072037 directly on the NPPES registry website.

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