Individual provider Active NPI

Emily Lisa Monderine, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1356206569
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15475400 Issued in NJ
Practice address
36 Washington St Ste 1
Toms River, NJ 08753-7667
Phone
(201) 942-5099
Fax
(877) 485-8918
NPI assigned
Dec 19, 2025
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15475400 NJ Primary

Addresses

Primary practice location

36 Washington St Ste 1
Toms River, NJ 08753-7667

Mailing address

36 Washington St Ste 1
Toms River, NJ 08753-7667
Phone (201) 942-5099

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206003659 NJ Practitioner - Nurse Practitioner 5799264016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

36 Washington St
Suite 1 Mywellbrook Health
Toms River, NJ 08753-7667
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15475400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Jan 27, 2026 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

36 Washington St
Ste 1
Toms River, NJ 08753
Phone (201) 942-5099

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1356206569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST STE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537667",
            "telephone_number": "201-942-5099",
            "fax_number": "877-485-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON ST STE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537667",
            "telephone_number": "201-942-5099",
            "fax_number": "877-485-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDERINE",
        "first_name": "EMILY",
        "middle_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-19",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15475400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.