LISSETTE ORTIZ DE PRYOR PA-C
NPI 1912196981
Physician Assistant in Red Bank, NJ
About Lissette Ortiz De Pryor Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISSETTE ORTIZ DE PRYOR PA-C (NPI 1912196981) is an individual physician assistant in Red Bank, New Jersey, licensed in New Jersey (25MP00186200) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Trenton, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lissette Ortiz De Pryor Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RED BANK, NJ 07701
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 Lissette Ortiz De Pryor's NPI number?
The NPI number for Lissette Ortiz De Pryor is 1912196981. It was assigned to this individual provider in the NPPES registry on October 16, 2007. The provider is also known as Lissette Ortiz PA.
Where is Lissette Ortiz De Pryor located?
Lissette Ortiz De Pryor practices at 1 Riverview Plz, Red Bank, NJ 07701. The listed phone number is (732) 741-2700.
What is Lissette Ortiz De Pryor's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lissette Ortiz De Pryor enrolled in Medicare?
Yes. Lissette Ortiz De Pryor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Lissette Ortiz De Pryor was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Lissette Ortiz De Pryor, PA-C · NPI 1912196981
Physician Assistant physician in Red Bank, New Jersey. Individual provider, active in the CMS NPPES registry since October 16, 2007.
## Identity
- **NPI:** 1912196981 (Entity type: Individual)
- **Enumerated:** October 16, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 25MP00186200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 RIVERVIEW PLZ, Red Bank, NJ 07701-1864
- **Phone:** (732) 741-2700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912196981) · Data from the CMS NPPES public registry.