Lisa Gittens
Gynecologist - Maternal & Fetal Medicine
140 Bergen St Acc Level C
Newark
, New Jersey 07103-2425
Lisa Gittens
Gynecologist - Maternal & Fetal Medicine
140 Bergen St Acc Level C
Newark
, New Jersey 07103-2425
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Lisa Gittens
- 30 Bergen St Admc 12 1205
- Newark, NJ
- Zip : 07107-3000
- Phone :
Second Address
- Lisa Gittens
- 140 Bergen St Acc Level C
- Newark, NJ
- Zip : 07103-2425
- Fax : (973) 972-2739
- Phone : (973) 972-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA05404300 | NJ |
National Provider Identifier
| NPI | 1043243504 |
|---|---|
| Provider Name | Lisa Gittens |
| First Address | Newark, NJ 07107-3000 |
| Second Address | Newark, NJ 07103-2425 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2006 |
| Last Update Date | 25/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5091501 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.