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LISA CASSIDY NURSE PRACTITIONER
NPI 1790753457
Internal Medicine - Cardiovascular Disease in Newark, NJ

Active since March 09, 2006PECOS Enrolled
201 LYONS AVE, SUITE G5, NEWARK, NJ 07112(973) 926-7749(973) 923-4683 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Cassidy Nurse Practitioner NPPES

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

LISA CASSIDY NURSE PRACTITIONER (NPI 1790753457) is an individual cardiovascular disease provider in Newark, New Jersey, licensed in New Jersey (26NJ00075100) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790753457
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameLISA CASSIDYCredential: NURSE PRACTITIONER
Location Address201 LYONS AVE, SUITE G5Newark, NJ 07112-2027
Mailing Address201 Lyons Ave, Suite C1Newark, NJ 07112-2027 · (973) 926-4430 · Fax (973) 926-5658
Phone(973) 926-7749
Fax(973) 923-4683
Sole ProprietorYes
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1790753457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 26NJ00075100
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00075100 (NJ)
201 LYONS AVE, Newark, NJ 07112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Cassidy Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
GARY LAYTON DDS
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7642
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 Cassidy's NPI number?

The NPI number for Lisa Cassidy is 1790753457. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Lisa Cassidy located?

Lisa Cassidy practices at 201 Lyons Ave Suite G5, Newark, NJ 07112. The listed phone number is (973) 926-7749.

What is Lisa Cassidy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lisa Cassidy enrolled in Medicare?

Yes. Lisa Cassidy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Cassidy was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.