# CADUCEUS SKILLED HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871460345
- **Authorized official:** LISA CANNON MD (OWNER)
- **Authorized official phone:** (201) 456-5367

## Contact information

- **Practice address:** 501 N RTE 17 STE 1, PARAMUS, NJ 07652-3000
- **Practice address phone:** (201) 456-5367
- **Mailing address:** 2105 FREEMAN WAY, ALLENDALE, NJ 07401-1780
- **Mailing address phone:** (201) 456-5367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 12/04/2025