Individual Healthcare Provider
Chantal Mulan Lisik, M.D.
Provider's NPPES record last updated: May 19, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1275845729
- Primary Specialty
- Internal Medicine
- Practice Location
- New Providence, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Allopathic & Osteopathic Physicians
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Taxonomy code 207R00000X General Acute Care Hospital
Hospitals
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Taxonomy code 282N00000X
Provider-Reported License Information
- Internal Medicine (New Jersey)
- 25MA08971700
Practice Locations
Practice Location
571 Central Ave Ste 104a
New Providence, New Jersey 07974
Phone: (908) 632-5172
Additional Practice Location
67 Walnut Ave Ste 402
Clark, New Jersey 07066
Phone: (908) 868-6669
Fax: (855) 822-3223
Additional Practice Location
99 Beauvoir Ave
Summit, New Jersey 07901-3533
Phone: (608) 522-2000
Additional Practice Location
65 Mountain Blvd Ext Ste 209
Warren, New Jersey 07059
Phone: (732) 469-7290
Fax: (855) 822-3223
Additional Practice Location
252 Kent Place Blvd
Summit, New Jersey 07901
Phone: (908) 868-6669
Fax: (502) 890-2521
Record Information
- Enumeration Date
- July 12, 2010
- Provider's NPPES Record Last Updated
- May 19, 2025
- Certification Date
- May 19, 2025
- NPISignal NPPES Dataset
- August 2026
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