IndividualActive
Lisa Ford, MD
NPI 1659445013 · Neurology with Special Qualifications in Child Neurology Physician · Newark, NJ
Provider details
- NPI number
- 1659445013
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA05696300 (NJ)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 25MA05696300 (NJ)
Allopathic & Osteopathic Physicians
Practice location
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
Phone: (973) 972-9000
Approximate (ZIP-level) locationGet directions
Mailing address
30 Bergen St
Newark, NJ 07107-3000
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.