LISA KAUSHAL TANK MD NPI 1811943897

NPI Information

  • NPI: 1811943897
  • Provider Name: LISA KAUSHAL TANK, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 PROSPECT AVE
    DIVISION OF GERIATRICS
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 678-2994

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NPI Details

Lisa Kaushal Tank, MD is a geriatric medicine internal medicine in Hackensack, NJ with 30 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Lisa Kaushal Tank, MD NPI is 1811943897. 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:

30 PROSPECT AVE
DIVISION OF GERIATRICS
HACKENSACK, NJ
ZIP 07601-914
Phone: (201) 678-2994
Fax: (201) 678-2976

The NPI 1811943897 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Assessment of emotional or behavioral problems (HCPCS:96127)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/8/2007.

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
1207RG0300XInternal MedicineGeriatric MedicineMA073309NEW JERSEYYes

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
1H57425MEDICARE UPIN
2056358DHKMEDICARE ID-TYPE UNSPECIFIED
38850801MEDICAIDNEW JERSEY

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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