Provider Demographics
NPI:1154684991
Name:HOPF, LISA HILLARY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:HILLARY
Last Name:HOPF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1264 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1420
Mailing Address - Country:US
Mailing Address - Phone:201-602-0713
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE # LEVELC
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5900
Practice Address - Fax:973-290-7257
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical