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LISA WYDRA NPI 1780916916


NPI Information

NPI: 1780916916
Provider Name: LISA WYDRA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3391 HIGHWAY 35
HAZLET, NJ
ZIP 07730
Phone: (732) 888-8299
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Lisa Wydra is a family nurse practitioner in Hazlet, NJ with 15 years of experience. Lisa Wydra NPI is 1780916916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3391 HIGHWAY 35
HAZLET, NJ
ZIP 07730-521
Phone: (732) 888-8299

The NPI 1780916916 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.

  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 2/15/2010 and was last updated on 1/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily26NR09130100NEW JERSEYYes
2363LF0000XNurse PractitionerFamily26NJ00285700NEW JERSEYNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.