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

Lisa Cassidy, NURSEPRACTITIONER

Individual provider Cardiovascular Disease Physician · NPI 1790753457

Lisa Cassidy, NURSEPRACTITIONER is a Cardiovascular Disease Physician in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

201 Lyons Ave Ste G5
Newark, NJ 07112-2027
Phone: (973) 926-7749
Fax: (973) 923-4683
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 26NJ00075100 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00075100 (NJ)

Record details

NPI number1790753457
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 9, 2006
Last updated in NPPESJanuary 3, 2014
Mailing address201 Lyons Ave, Suite C1, Newark, NJ 07112-2027

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