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

Dr. Lisa Marie Sheppard, MD

Individual provider Diagnostic Radiology Physician · NPI 1083673479

Dr. Lisa Marie Sheppard, MD is a Diagnostic Radiology in Paterson, New Jersey. Graduated from Jefferson Medical College of Thomas Jefferson University in 1987, 39 years ago. Practices with Denville Diagnostics Imaging and Open MRI LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Connecticut, Delaware, Florida and Idaho and 11 more.

Years since qualifying
39
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CT, DE, FL, ID, IN, MA
In the registry since
2006
Specialties on file
15
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

680 Broadway Ste 111
Paterson, NJ 07514-1526
Phone: (973) 977-6662
Fax: (973) 341-1128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD044023E (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 039123 (CT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 209589 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME75363 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence CI0007032 (DE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M8820 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01048566A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 015679 (ME)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 00057528 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0474456 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 10311 (MT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11256 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MA53519 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 179324-1 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 10485 (RI)

Record details

NPI number1083673479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice Denville Diagnostics Imaging And Open Mri Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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