Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC

Organization General Practice Physician · NPI 1851072037

Lisa M. Campanella-Coppo, MD Functional Medicine & Wellness, PC is a General Practice Physician in Wayne, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 Hamburg Tpke Ste 202B
Wayne, NJ 07470-2011
Phone: (551) 316-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1851072037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Campanella-Coppo — Owner · (551) 316-7740
Other names Functional Medicine And Wellness, Pc
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 29, 2023
Mailing address637 Wyckoff Ave Ste 383, Wyckoff, NJ 07481-1438

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