| Dr Lisania Iris Milli, PHD, WHNP-BC | |
|
48 Bi State Plz # 506, Old Tappan, NJ 07675-7003 | |
| (201) 903-7048 | |
| (844) 274-3413 |
| Full Name | Dr Lisania Iris Milli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 48 Bi State Plz # 506, Old Tappan, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | F420654-01 (New York) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 26NJ00090100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msk Bergen | 1456614114 | 233 |
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1587 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184637886 PECOS PAC ID: 0143229534 Enrollment ID: O20061213000044 |
| Entity Name | Msk Monmouth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922459163 PECOS PAC ID: 1153619291 Enrollment ID: O20161005002347 |
| Entity Name | Msk Bergen |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558814657 PECOS PAC ID: 1456614114 Enrollment ID: O20180410002157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisania Iris Milli, PHD, WHNP-BC 48 Bi State Plz # 506, Old Tappan, NJ 07675-7003 Ph: (201) 903-7048 | Dr Lisania Iris Milli, PHD, WHNP-BC 48 Bi State Plz # 506, Old Tappan, NJ 07675-7003 Ph: (201) 903-7048 |
Mi S Lee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19 Spring Hollow Rd, Old Tappan, NJ 07675 Phone: 201-750-8682 | |
Drew Morgan Lebovich, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Cedar Dr, Old Tappan, NJ 07675 Phone: 201-693-5961 | |
Ezinne Ezete, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 48 Bi State Plaza, Pmb 841, Old Tappan, NJ 07675 Phone: 860-758-6800 |