Active NPIIndividual provider

Dr. Lisa A Kassenoff, DO

Family Medicine in Forked River, New Jersey

NPI Number1912960436
Practice location
138 Rte 9 S, Forked River, NJ 08731-3625
Fax
609-488-1613
Last updated
December 20, 2018

Lisa Adrian Kassenoff is a Family Medicine based in Forked River, NJ. Lisa Adrian Kassenoff practices in Forked River, NJ and has the professional credentials of DO. The NPI Number for Lisa Adrian Kassenoff is 1912960436 and holds a License No. mb07878100 (NJ). The current practice location address for Lisa Adrian Kassenoff is 138 Rte 9 S, Forked River, NJ 08731-3625 and can be reached out via phone at 609-756-0000 and via fax at 609-488-1613.

Provider Profile Details

NPI Number
1912960436
Provider Name
Lisa Adrian Kassenoff
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
138 Rte 9 S, Forked River, NJ 08731-3625
Phone Number
609-756-0000
Fax Number
609-488-1613
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2006
Last Update Date
December 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Rte 9 S
Forked River, NJ 08731-3625
Zip
08731-3625
Phone Number
609-756-0000
Fax Number
609-488-1613
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
138 Rte 9 S
Forked River, NJ 08731-3625
City
Forked River
State
NJ
Zip
08731-3625
Phone Number
609-756-0000
Fax Number
609-488-1613

License Information

License Number
mb07878100
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 A Kassenoff, DO?

The NPI number of Dr. Lisa A Kassenoff, DO is 1912960436. It was assigned on April 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa A Kassenoff, DO?

Dr. Lisa A Kassenoff, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number mb07878100.

Where does Dr. Lisa A Kassenoff, DO practice?

The practice location is 138 Rte 9 S, Forked River, NJ 08731-3625. The office can be reached at 609-756-0000 (phone) or 609-488-1613 (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 1912960436 directly on the NPPES registry website.

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