Individual provider Active NPI

Victoria Marie Adimando, NP

  • Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1386389062
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15043400 Issued in NJ
Practice address
1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894
Phone
(732) 994-4242
Fax
(732) 363-5164
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 349349 NY
Nurse Practitioner 363L00000X 26NJ15043400 NJ Primary

Addresses

Primary practice location

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894

Mailing address

1498 Clove Rd
Staten Island, NY 10301-4314

Other practice location 1

1382 Lanes Mill Rd Ste 202
Lakewood, NJ 08701-3894
Phone (732) 994-4242

Other practice location 2

1498 Clove Rd
Staten Island, NY 10301-4314
Phone (718) 494-2690

Other practice location 3

456 Chestnut St Unit 303
Lakewood, NJ 08701-6124
Phone (732) 994-4242

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
I20240729004083 NJ Practitioner - Nurse Practitioner 3577000363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

1382 Lanes Mill Rd
Suite 201
Lakewood, NJ 08701-3894
Phone (732) 994-4242

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

456 Chestnut St
Unit 303
Lakewood, NJ 08701-6124
Phone (732) 994-4242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
349349NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 19, 2025 Accepting new patients
Tru OBGYN & Birth Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 19, 2025 Accepting new patients
Tru OBGYN & Birth Center LLC CurrentSince Jul 1, 2024 Accepting new patients
Alecia M. Giovinazzo MD LLC CurrentSince May 1, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

456 Chestnut St
Unit 303
Lakewood, NJ 08701
Phone (732) 994-4242

1382 Lanes Mill Rd
Ste 202
Lakewood, NJ 08701
Phone (732) 994-4242

1382 Lanes Mill Rd
Ste 201
Lakewood, NJ 08701
Phone (732) 994-4242

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10520/brand/1/csg/1/fhir/r4
  • Direct secure messaging: victoria.adimando.1@10520.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1386389062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013894",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1382 Lanes Mill Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013894",
            "country_code": "US",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1498 Clove Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103014314",
            "country_code": "US",
            "telephone_number": "718-494-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 Chestnut St Unit 303",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016124",
            "country_code": "US",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIMANDO",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "349349",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15043400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.