Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lissette Ortiz de Pryor, PA-C

Individual provider Physician Assistant · NPI 1912196981

Lissette Ortiz de Pryor, PA-C is a Physician Assistant in Red Bank, New Jersey. Qualified in 2006, 20 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Riverview Plz
Red Bank, NJ 07701-1864
Phone: (732) 741-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 321 N Warren St, Trenton, NJ 08618-4741 — (609) 278-5939

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00186200 (NJ)

Record details

NPI number1912196981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2007
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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