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LISA M. CAMPANELLA-COPPO, MD FUNCTIONAL MEDICINE & WELLNESS, PC
NPI 1851072037
General Practice in Wayne, NJ

Active since July 31, 2023
504 HAMBURG TPKE STE 202B, WAYNE, NJ 07470(551) 316-7740 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lisa M. Campanella-coppo, Md Functional Medicine & Wellness, Pc NPPES

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

LISA M. CAMPANELLA-COPPO, MD FUNCTIONAL MEDICINE & WELLNESS, PC (NPI 1851072037), doing business as Functional Medicine And Wellness, Pc, is a healthcare organization registered as a general practice in Wayne, New Jersey and active in the NPI registry since July 2023. The organization lists Lisa Marie Campanella-coppo, Owner, as its authorized official.

NPPES Registry Identity

NPI1851072037
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLISA M. CAMPANELLA-COPPO, MD FUNCTIONAL MEDICINE & WELLNESS, PC
Location Address504 HAMBURG TPKE STE 202BWayne, NJ 07470-2011
Mailing Address637 Wyckoff Ave Ste 383Wyckoff, NJ 07481-1438 · (551) 316-7740
Phone(551) 316-7740
Organization SubpartNo
Authorized OfficialLisa Marie Campanella-coppoOwner · (551) 316-7740
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 29, 2023
✔ NPI 1851072037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
504 HAMBURG TPKE STE 202B, Wayne, NJ 07470
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Other Names 1

Doing Business AsFunctional Medicine And Wellness, Pc

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

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 M. Campanella-Coppo, MD Functional Medicine & Wellness, PC's NPI number?

The NPI number for Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is 1851072037. It was assigned to this organization in the NPPES registry on July 31, 2023. The provider is doing business as Functional Medicine and Wellness, PC.

Where is Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC located?

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is located at 504 Hamburg Tpke Ste 202B, Wayne, NJ 07470. The listed phone number is (551) 316-7740.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.