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

Lisa Marie Campenella, PA-C

Individual provider Surgical Physician Assistant · NPI 1457374639

Lisa Marie Campenella, PA-C is a Physician Assistant in Marlton, New Jersey. Qualified in 2004, 22 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
22
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

25 John James Audubon Way Ste 410
Marlton, NJ 08053-7219
Phone: (856) 701-4485
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00132100 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA051861 (PA)

Record details

NPI number1457374639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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