Healthcare Provider Details

I. General information

NPI: 1265382444
Provider Name (Legal Business Name): JOANNA MARIE PISANI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SEARS DR STE 102
PARAMUS NJ
07652-3510
US

IV. Provider business mailing address

350 WINDHAM CT N
WYCKOFF NJ
07481-3405
US

V. Phone/Fax

Practice location:
  • Phone: 201-261-7550
  • Fax: 201-261-7515
Mailing address:
  • Phone: 201-787-1224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number26NJ15091300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: