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Lisa Cannon MD Fccp

Specialist in Ho Ho Kus, NJ · enumerated 2006 · authorized official Lisa Cannon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558316315

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Registry record

Entity type Organization (Type 2)
Legal business name Lisa Cannon MD Fccp
Practice address 110 Warren Ave, Ho Ho Kus, NJ, 07423
Enumeration date May 23, 2006
Last updated in NPPES Nov 2, 2007

Taxonomy & classification

174400000X Specialist Other Service Providers · License MA69017 (NJ) Primary

Authorized official

Name Lisa Cannon
Title Owner

Other identifiers

Identifier Type State Issuer
3344304 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lisa Cannon MD Fccp?
NPPES lists Lisa Cannon (Owner) as the authorized official for this organization.
What is the NPI number for Lisa Cannon MD Fccp?
The NPI for Lisa Cannon MD Fccp is 1558316315, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-02.