Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487723300 Individual Practitioner Female Practitioner

Dr. Lisa M O'donnell , MD

Pediatrics • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Lisa O'Donnell, MD is a registered healthcare professional specializing in Pediatrics in Hackensack, NJ. Practice services are available at 22 ELM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22 Elm Ave

Hackensack, NJ 076014701

Telephone 2012670890
Fax 2013434635

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
75 Specialists

Practicing in Hackensack, NJ (2321 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA07968400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0279676 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Katie Horvitz , NP

Nurse Practitioner - Family

NPI 1790409068

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 08, 2025

Registered at 22 ELM AVE, HACKENSACK, NJ 076014701 (Tel: 2012670890)

📍
Updated Business Mailing Address August 08, 2025

Registered at 22 ELM AVE, HACKENSACK, NJ 076014701 (Tel: 2012670890)

NPI Profile Active January 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2013

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

📍
Updated Business Mailing Address January 22, 2013

Registered at 18 RAILROAD AVE, SUITE 103, ROCHELLE PARK, NJ 076624105 (Tel: 2019280748)

👤
Provider Name / Credentials Updated January 22, 2013

Recorded as LISA O'DONNELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2013

Pediatrics (License #25MA07968400 in NJ)

🟢
Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487723300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: August 08, 2025
Sole Proprietor: Yes

Mailing Address

22 Elm Ave

Hackensack, NJ 076014701

Phone: 2012670890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.