Dr. Lisa M Gudicello, MD
Ophthalmology in Ridgewood, New Jersey
1386794576- Practice location
- 440 Northern Pkwy, Ridgewood, NJ 07450-1721
- Phone
- 201-220-2654
- Fax
- 201-220-2654
- Last updated
- January 26, 2023
Lisa Marie Gudicello is an Ophthalmology based in Ridgewood, NJ. Lisa Marie Gudicello practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Lisa Marie Gudicello is 1386794576 and holds a License No. Ma06926700 (NJ). The current practice location address for Lisa Marie Gudicello is 440 Northern Pkwy, Ridgewood, NJ 07450-1721 and can be reached out via phone at 201-220-2654 and via fax at 201-220-2654.
Provider Profile Details
- NPI Number
- 1386794576
- Provider Name
- Lisa Marie Gudicello
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 440 Northern Pkwy, Ridgewood, NJ 07450-1721
- Phone Number
- 201-220-2654
- Fax Number
- 201-220-2654
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 11, 2007
- Last Update Date
- January 26, 2023
- Certification Date
- January 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 440 Northern Pkwy
Ridgewood, NJ 07450-1721 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-1721
- Phone Number
- 201-220-2654
- Fax Number
- 201-220-2654
Provider Business Mailing Address Details
- Address
- 440 Northern Pkwy
Ridgewood, NJ 07450-1721 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-1721
- Phone Number
- 201-220-2654
- Fax Number
- 201-220-2654
License Information
- License Number (1)
- Ma06926700
- License State (1)
- NJ
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 318455
- License State (2)
- NY
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Lisa M Gudicello, MD?
The NPI number of Dr. Lisa M Gudicello, MD is 1386794576. It was assigned on January 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Lisa M Gudicello, MD?
Dr. Lisa M Gudicello, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number Ma06926700.
Where does Dr. Lisa M Gudicello, MD practice?
The practice location is 440 Northern Pkwy, Ridgewood, NJ 07450-1721. The office can be reached at 201-220-2654 (phone) or 201-220-2654 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386794576 directly on the NPPES registry website.