LISA M CANNON (NPI# 1073562773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073562773 |
| Entity Type | Individual |
| Full Name | LISA M CANNON |
| Credential | MD |
| Practice Address |
110 Warren Ave Ho Ho Kus NJ 07423-1566 |
| Mailing Address |
Po Box 158 Wyckoff NJ 07481-0158 |
| Practice Telephone | 2012512525 |
| Practice Fax Number | 2012518488 |
| Mailing Telephone | 2015129494 |
| Mailing Fax Number | 2015121995 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA69017 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326355462 | Lisa Cannon | Licensed Practical Nurse | 6555 Brooks Rd, Harrison, OH 45030-8927 | 2010-09-10 |
| 1952948200 | Lisa Cannon | Pharmacist | 1310 N Brazos St, Whitney, TX 76692-2010 | 2019-12-05 |
| 1861809832 | Lisa Cannon | Social Worker | 1265 N Bradford Dr, Delphi, IN 46923-9553 | 2014-07-22 |
| 1841450640 | Lisa Marie Cannon | Surgery | 5841 S Maryland Ave, Mc 5094, Chicago, IL 60637-1447 | 2008-06-15 |
| 1629249255 | Lisa Cannon | Dietitian, Registered | 115 W Silver St, Westfield, MA 01085-3628 | 2008-03-24 |
| 1548385354 | Lisa M. Cannon | Pediatrics | 541 High Street, Westwood, MA 02090 | 2007-03-20 |
| 1801965959 | Lisa Claire Cannon | Audiologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-11-06 |
| 1326005778 | Lisa Marie Cannon | Psychologist | 1 Northgate Sq, Greensburg, PA 15601-1341 | 2006-04-28 |
| Street Address |
110 WARREN AVE |
| City | HO HO KUS |
| State | NJ |
| Zip Code | 07423-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497079081 | Sheridan Cannonllc | Clinic/Center | 110 Warren Ave, Ho Ho Kus, NJ 07423-1566 | 2010-03-25 |
| 1891950796 | Glen W. Berger, M.d., P.a. | Internal Medicine | 110 Warren Ave, Suite 5, Ho Ho Kus, NJ 07423-1566 | 2008-07-21 |
| 1518189844 | The Koch Center, PC | Psychologist | 110 Warren Ave, Ho Ho Kus, NJ 07423-1566 | 2007-05-03 |
| 1497886188 | Jeffrey Thomas Mohn | Dentist | 110 Warren Ave, Suite 1, Ho Ho Kus, NJ 07423-1566 | 2007-03-07 |
| 1558316315 | Lisa Cannon Md Fccp | Specialist | 110 Warren Ave, Ho Ho Kus, NJ 07423-1566 | 2006-05-23 |
| 1285697201 | Glen W Berger | Internal Medicine | 110 Warren Ave, Suite 5, Ho Ho Kus, NJ 07423-1566 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048019 | Debra A. Mccarthy | Speech-Language Pathologist | 611 North Maple Ave, Ho Ho Kus, NJ 07423 | 2019-01-31 |
| 1104335645 | Jennifer Mayo Ajosa | Psychologist | 110 Warren Ave Ste 6, Ho Ho Kus, NJ 07423 | 2017-09-27 |
| 1326424334 | Ridgewood Pediatric Therapy Associates, LLC | Occupational Therapist | 611 North Maple Avenue, Suite 7, Ho Ho Kus, NJ 07423 | 2015-08-03 |
| 1043483571 | Lester Dickinson Morris | Veterinarian | 205 Brookside Ave, Ho Ho Kus, NJ 07423 | 2008-04-04 |
| 1053508507 | Ronald Henry Vanslooten | Dentist | 110 Warren Avenue, Ho Ho Kus, NJ 07423 | 2007-09-28 |
| 1336343722 | Thomas Edward Kavanagh | Psychologist | 50 North Franklin Turnpike, Suite 204, Ho Ho Kus, NJ 07423 | 2007-06-12 |
| 1467535922 | Mary Ann Kezmarsky | Clinical Neuropsychologist | 31 Sheridan Avenue, Suite 1, Ho-ho-kus, NJ 07423 | 2006-10-20 |
| 1255395588 | Henry John Rose | Internal Medicine | 120 Blauvelt Ave, Ho Ho Kus, NJ 07423 | 2006-04-13 |
| 1699968198 | Barbara Ann Maurer | Counselor | 625 N Maple Ave, Ho Ho Kus, NJ 07423 | 2007-08-20 |
| 1235346370 | Kali Roy A Eklof Phd Pa | Psychologist | 4 Pitcairn Ave, Ho Ho Kus, NJ 07423 | 2007-05-17 |
| Find all providers in zip 07423 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640922 | Josephine Cuore Romito | Specialist | 50 N Franklin Tpke, Suite 204, Ho Ho Kus, NJ 07423-1570 | 2006-08-25 |
| 1558316315 | Lisa Cannon Md Fccp | Specialist | 110 Warren Ave, Ho Ho Kus, NJ 07423-1566 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.