LISA KAUSHAL TANK (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1811943897

LISA KAUSHAL TANK (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA073309 (NJ). The NPI Number for LISA KAUSHAL TANK (MD) is 1811943897

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LISA KAUSHAL TANK (MD)
NPI
1811943897
Phone
(201) 678-2994
Address
30 PROSPECT AVE
Enumeration Date
25 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5519961140
Graduation Year
1996 (30 years ago)
PAC ID
2365467776
Group Practice PAC ID
7911003330
Professional Enrollment ID
I20051013000771
Address ID
NJ076018566HA360XXSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

251 GERIATRIC MEDICINE in NJ

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Provider Addresses for LISA KAUSHAL TANK (MD)

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    DIVISION OF GERIATRICS

    HACKENSACK, NJ 076011914

    Phone: (201) 678-2994

    Fax: (201) 678-2976

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051013000771IGeriatric MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2215$0
96127Assessment of emotional or behavioral problems1614$0
96160Administration and interpretation of patient-focused health risk assessment1413$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911003330View full group profile
NameSpecialtyState
Internal MedicineNJ
-NJ
Nurse PractitionerNJ
Family PracticeNJ
Internal MedicineNJ
Nurse PractitionerNJ
Family PracticeNJ
-NJ
Internal MedicineNJ
Internal Medicine, Geriatric MedicineNJ

Reviews

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Frequently asked questions

How is LISA KAUSHAL TANK (MD) identified in CMS data?
CMS-hosted NPPES data lists LISA KAUSHAL TANK (MD) with NPI 1811943897.
Can I rely on LISA KAUSHAL TANK (MD) being an active provider?
As of the registry snapshot, LISA KAUSHAL TANK (MD) is marked active.
What is LISA KAUSHAL TANK (MD)'s specialty?
The listing groups LISA KAUSHAL TANK (MD) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does LISA KAUSHAL TANK (MD) list a practice location?
Patients near Hackensack, New Jersey may find LISA KAUSHAL TANK (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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