Healthcare Provider Details

I. General information

NPI: 1124771316
Provider Name (Legal Business Name): DNP MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E TAUNTON AVE
BERLIN NJ
08009-1622
US

IV. Provider business mailing address

15 E TAUNTON AVE
BERLIN NJ
08009-1622
US

V. Phone/Fax

Practice location:
  • Phone: 856-767-0320
  • Fax: 856-768-1080
Mailing address:
  • Phone: 856-767-0320
  • Fax: 856-768-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA PAUL
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-C
Phone: 856-343-2342