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LISA CANNON MD FCCP
NPI 1558316315
Specialist in Ho Ho Kus, NJ

Active since May 23, 2006
110 WARREN AVE, HO HO KUS, NJ 07423(201) 251-2525 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Cannon Md Fccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA CANNON MD FCCP (NPI 1558316315) is a healthcare organization registered as a specialist in Ho Ho Kus, New Jersey and active in the NPI registry since May 2006. The organization lists Lisa M Cannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1558316315
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLISA CANNON MD FCCP
Location Address110 WARREN AVEHo Ho Kus, NJ 07423-1566
Mailing AddressPo Box 158Wyckoff, NJ 07481-0158 · (201) 251-2525
Phone(201) 251-2525
Organization SubpartNo
Authorized OfficialLisa M CannonOwner · (201) 251-2525
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1558316315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA69017
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
110 WARREN AVE, Ho Ho Kus, NJ 07423
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Other Identifiers 3

Medicare UPING49906NJ
Medicaid3344304NJ
Medicare ID-Type Unspecified026226NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA J SMARTZ DMD PA
Dentist (Oral and Maxillofacial Surgery)
110 WARREN AVE
HOHOKUS, NJ 07423
Bergen County (201) 652-1154
PREMIER ORAL SURGERY OF HO-HO-KUS PC
Dentist (Oral and Maxillofacial Surgery)
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 652-1154
NATALIE ROSE TAGUE
Social Worker
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 857-5380
JANA DEVANEY
Social Worker
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 857-5380
GLEN W BERGER MD
Internal Medicine
110 WARREN AVE, SUITE 5
HO HO KUS, NJ 07423
Bergen County (201) 444-9405
OLIVIA OHNGEMACH
Counselor (Mental Health)
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 857-5380
GISELLE ELENA BATISTA PSY.D.
Psychologist
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 857-5380
HAILEY KAISER
Counselor (Mental Health)
110 WARREN AVE
HO HO KUS, NJ 07423
Bergen County (201) 857-5380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Cannon MD Fccp's NPI number?

The NPI number for Lisa Cannon MD Fccp is 1558316315. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Lisa Cannon MD Fccp located?

Lisa Cannon MD Fccp is located at 110 Warren Ave, Ho Ho Kus, NJ 07423. The listed phone number is (201) 251-2525.

What is Lisa Cannon MD Fccp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Cannon MD Fccp was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.