Active NPIIndividual providerSole proprietor

Lisa Bodollo

Student in an Organized Health Care Education/Training Program in Teaneck, New Jersey

NPI Number1740111913
Practice location
310 Cedar Ln, Teaneck, NJ 07666-3441
Fax
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Last updated
May 27, 2026

Lisa Bodollo is a Student in an Organized Health Care Education/Training Program based in Teaneck, NJ. Lisa Bodollo practices in Teaneck, NJ. The NPI Number for Lisa Bodollo is 1740111913. The current practice location address for Lisa Bodollo is 310 Cedar Ln, Teaneck, NJ 07666-3441 and can be reached out via phone at 201-541-8600.

Provider Profile Details

NPI Number
1740111913
Provider Name
Lisa Bodollo
Provider Entity Type
Individual
Gender
Female
Address
310 Cedar Ln, Teaneck, NJ 07666-3441
Phone Number
201-541-8600
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2026
Last Update Date
May 27, 2026
Certification Date
May 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Cedar Ln
Teaneck, NJ 07666-3441
Zip
07666-3441
Phone Number
201-541-8600
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
27 Orchard RD
Maplewood, NJ 07040-1919
City
Maplewood
State
NJ
Zip
07040-1919
Phone Number
513-617-4439

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lisa Bodollo?

The NPI number of Lisa Bodollo is 1740111913. It was assigned on May 27, 2026 and is currently active in the NPPES registry.

What is the specialty of Lisa Bodollo?

Lisa Bodollo is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Lisa Bodollo practice?

The practice location is 310 Cedar Ln, Teaneck, NJ 07666-3441. The office can be reached at 201-541-8600 (phone).

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 1740111913 directly on the NPPES registry website.

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