Individual provider

Lisa Marie Sheppard, MD

Diagnostic Radiology Physician Medicare enrolled

Lisa Marie Sheppard, MD is a Diagnostic Radiology Physician in Paterson, NJ, registered under NPI 1083673479.

Getting there

The practice address on file is 680 BROADWAY STE 111, Paterson, NJ 07514. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

680 BROADWAY STE 111, Paterson, NJ 07514 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD044023E PA Diagnostic Radiology Physician primary
039123 CT Diagnostic Radiology Physician
209589 MA Diagnostic Radiology Physician
ME75363 FL Diagnostic Radiology Physician
CI0007032 DE Diagnostic Radiology Physician
M8820 ID Diagnostic Radiology Physician
01048566A IN Diagnostic Radiology Physician
015679 ME Diagnostic Radiology Physician
00057528 MD Diagnostic Radiology Physician
0474456 MI Diagnostic Radiology Physician
10311 MT Diagnostic Radiology Physician
11256 NH Diagnostic Radiology Physician
MA53519 NJ Diagnostic Radiology Physician
179324-1 NY Diagnostic Radiology Physician
10485 RI Diagnostic Radiology Physician

Licences are recorded in 15 states: PA, CT, MA, FL, DE, ID, IN, ME, MD, MI, MT, NH, NJ, NY, RI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
9133032105

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 15 states

This provider holds licences in 15 states: Connecticut, Delaware, Florida, Idaho, Indiana, Massachusetts, Maryland, Maine, Michigan, Montana, New Hampshire, New Jersey, New York, Pennsylvania and Rhode Island. The practice address on file is in Paterson, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
039123
Specialty
Diagnostic Radiology Physician
Verify with the CT board →
DE Delaware
Licence
CI0007032
Specialty
Diagnostic Radiology Physician
Verify with the DE board →
FL Florida
Licence
ME75363
Specialty
Diagnostic Radiology Physician
Verify with the FL board →
ID Idaho
Licence
M8820
Specialty
Diagnostic Radiology Physician
Verify with the ID board →
IN Indiana
Licence
01048566A
Specialty
Diagnostic Radiology Physician
Verify with the IN board →
MA Massachusetts
Licence
209589
Specialty
Diagnostic Radiology Physician
Verify with the MA board →
MD Maryland
Licence
00057528
Specialty
Diagnostic Radiology Physician
Verify with the MD board →
ME Maine
Licence
015679
Specialty
Diagnostic Radiology Physician
Verify with the ME board →
MI Michigan
Licence
0474456
Specialty
Diagnostic Radiology Physician
Verify with the MI board →
MT Montana
Licence
10311
Specialty
Diagnostic Radiology Physician
Verify with the MT board →
NH New Hampshire
Licence
11256
Specialty
Diagnostic Radiology Physician
Verify with the NH board →
NJ New Jersey practice address
Licence
MA53519
Specialty
Diagnostic Radiology Physician
Verify with the NJ board →
NY New York
Licence
179324-1
Specialty
Diagnostic Radiology Physician
Verify with the NY board →
PA Pennsylvania
Licence
MD044023E
Specialty
Diagnostic Radiology Physician
Verify with the PA board →
RI Rhode Island
Licence
10485
Specialty
Diagnostic Radiology Physician
Verify with the RI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Diagnostic Radiology covers

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology MD044023E PA primary
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 039123 CT
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 209589 MA
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology ME75363 FL
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology CI0007032 DE
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology M8820 ID
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 01048566A IN
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 015679 ME
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 00057528 MD
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 0474456 MI
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 10311 MT
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 11256 NH
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology MA53519 NJ
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 179324-1 NY
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 10485 RI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083673479 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 23, 2006
Last updatedJul 21, 2022
StatusActive
Sole proprietorNo
CredentialMD
Practice address 680 BROADWAY STE 111
Paterson, NJ 07514
(973) 977-6662
Fax (973) 341-1128
Mailing address 31 PARK HILL TERRACE
Princeton Junction, NJ 08550
Other identifiers 02636560 (NY)
001969572 (PA)
7314701 (NJ)
2863049 (OH)
0157457 00 (MD)
015745700 (MD)
200262470 A (OK)
200933310 (IN)
1451789 (LA)
7100070710 (KY)
7725960 (SD)
The last update on file is Jul 21, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1083673479 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 6 7 3 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 3 7 6 4 5

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083673479?
NPI 1083673479 is the National Provider Identifier assigned to Lisa Marie Sheppard, MD in Paterson, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Diagnostic Radiology cover?
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
How do I contact Lisa Marie Sheppard, MD?
The phone number on file with NPPES is (973) 977-6662, last updated Jul 21, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lisa Marie Sheppard, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083673479 a valid number?
Yes. 1083673479 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.