Individual provider Active NPI

Lorelane Pagulayan Tindoc, M.D.

  • Family Medicine Physician
  • Pompton Plains, NJ
National Provider Identifier
1003012410
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08833500 Issued in NJ
Practice address
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3540
Fax
(973) 831-3503
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048737 CT
Family Medicine Physician 207Q00000X 25MA0883500 NJ
Family Medicine Physician 207Q00000X 25MA08833500 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762

Other practice location 1

780 Allwood Rd
Clifton, NJ 07012-1923
Phone (973) 249-6202

Other names 1

  • Dr. Lorelane Pagulayan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000644 NJ Practitioner - Family Practice 8628266863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erickson Health Medical Group of New Jersey PCGroup PAC ID 2769563220, 20 clinicians

Practice addresses (Care Compare)

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone (973) 831-3540

3000 Essex Rd
Tinton Falls, NJ 07753-2400
Phone (732) 643-2070

Hospital & facility affiliations

  • Cedar Crest Village, Inc Home Health Department Home health agency, Pompton Plains, NJ, CCN 317092
  • Compassionate Care Hospice of Northern NJ, LLC Hospice, Rockaway, NJ, CCN 311573
  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08833500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of New Jersey PC Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Erickson Health Medical Group of New Jersey PC Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Lucila Medical PC CurrentSince Dec 31, 2011 Accepting new patients
Rafael R.V. Lucila MD Family Medicine Past Accepting new patients

Locations

5525 Research Park Dr
Catonsville, MD 21228

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

780 Allwood Rd
Clifton, NJ 07012
Phone (973) 249-6202

1 Cedar Crest Village Dr
Pompton Plns, NJ 07444
Phone (973) 831-3540

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHEAD/Endpoint/AFHEAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1003012410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Allwood Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121923",
            "country_code": "US",
            "telephone_number": "973-249-6202",
            "fax_number": "973-249-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDOC",
        "first_name": "LORELANE",
        "middle_name": "PAGULAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "048737",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA0883500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08833500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORELANE",
            "last_name": "PAGULAYAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.