DR. LISA MARIE SHEPPARD MD NPI 1083673479

NPI Information

  • NPI: 1083673479
  • Provider Name: DR. LISA MARIE SHEPPARD, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 680 BROADWAY STE 111
    PATERSON, NJ
    ZIP 07514
  • Phone: (973) 977-6662

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NPI Details

DR. Lisa Marie Sheppard, MD is a diagnostic radiology radiology in Paterson, NJ with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lisa Marie Sheppard, MD NPI is 1083673479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1987

The provider's business location address is:

680 BROADWAY STE 111
PATERSON, NJ
ZIP 07514-526
Phone: (973) 977-6662
Fax: (973) 341-1128

The NPI 1083673479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology039123CONNECTICUTNo
22085R0202XRadiologyDiagnostic Radiology209589MASSACHUSETTSNo
32085R0202XRadiologyDiagnostic RadiologyME75363FLORIDANo
42085R0202XRadiologyDiagnostic RadiologyCI0007032DELAWARENo
52085R0202XRadiologyDiagnostic RadiologyM8820IDAHONo
62085R0202XRadiologyDiagnostic Radiology01048566AINDIANANo
72085R0202XRadiologyDiagnostic Radiology015679MAINENo
82085R0202XRadiologyDiagnostic Radiology00057528MARYLANDNo
92085R0202XRadiologyDiagnostic Radiology0474456MICHIGANNo
102085R0202XRadiologyDiagnostic Radiology10311MONTANANo
112085R0202XRadiologyDiagnostic Radiology11256NEW HAMPSHIRENo
122085R0202XRadiologyDiagnostic RadiologyMA53519NEW JERSEYNo
132085R0202XRadiologyDiagnostic Radiology179324-1NEW YORKNo
142085R0202XRadiologyDiagnostic Radiology10485RHODE ISLANDNo
152085R0202XRadiologyDiagnostic RadiologyMD044023EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1015745700MEDICAIDMARYLAND
202636560MEDICAIDNEW YORK
3200262470 AMEDICAIDOKLAHOMA
47314701MEDICAIDNEW JERSEY
57725960MEDICAIDSOUTH DAKOTA
61451789MEDICAIDLOUISIANA
7200933310MEDICAIDINDIANA
87100070710MEDICAIDKENTUCKY
9001969572MEDICAIDPENNSYLVANIA
100157457 00MEDICAIDMARYLAND
112863049MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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