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

Lisa M Cannon, MD

Individual provider Internal Medicine Physician · NPI 1073562773

Lisa M Cannon, MD is a Pulmonary Disease in Paramus, New Jersey. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
35
Licensed in
NJ
In the registry since
2006
Specialties on file
3
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

501 N Rte 17
Paramus, NJ 07652-3000
Phone: (551) 218-3790
Fax: (201) 979-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 25MA06901700 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MA06901700 (NJ)
Specialist Taxonomy 174400000X · Licence MA69017 (NJ)

Record details

NPI number1073562773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Paramus