Miranda Paige Mondou, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

690 Kinderkamack Rd Ste 204
Oradell, NJ 07649-1524

Phone

(551) 278-9240

Fax

(833) 525-2405

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  NPD
• Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1205446374
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1306522958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CRESCENT ST STE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533425",
            "telephone_number": "781-487-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 KINDERKAMACK RD STE 204",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491524",
            "telephone_number": "551-278-9240",
            "fax_number": "833-525-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Chelmsford St Unit 6",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018514429",
            "country_code": "US",
            "telephone_number": "978-321-0750",
            "fax_number": "833-314-0394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDOU",
        "first_name": "MIRANDA",
        "middle_name": "PAIGE",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce L Meyer, O.D.
• MGM Ketamine Services LLC
• MGM Medical Services LLC
• Mike Bellamy Counseling LLC
• Monarch Anesthesia of Englewood Cliffs LLC
• Motion Physical Therapy and Wellness
• Nohelia Andreina Munoz Lopez, LMSW
• Maria Munoz-Condis, LCSW
• Patricia Casey Murphy, LCSW
• Steven J Myers, PH.D.

• Peer Specialist in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.