Individual provider Active NPI

Jose Lino Mondejar, FNP

  • Family Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1447029509
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14917500 Issued in NJ
Practice address
303 Grand St
Jersey City, NJ 07302-4317
Phone
(201) 890-2225
NPI assigned
Dec 29, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14917500 NJ Primary

Addresses

Primary practice location

303 Grand St
Jersey City, NJ 07302-4317

Mailing address

144 Rutgers St
Belleville, NJ 07109-2538
Phone (201) 388-0681

Other practice location 1

144 Rutgers St
Belleville, NJ 07109-2538
Phone (201) 388-0681

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
I20240221001387 NJ Practitioner - Nurse Practitioner 1052755709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

303 Grand St
Unit G
Jersey City, NJ 07302-4317
Phone (201) 890-2225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14917500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Feb 1, 2024 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2727 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 221-4770

303 Grand St
Jersey City, NJ 07302
Phone (201) 890-2225

303 Grand St
Unit G
Jersey City, NJ 07302
Phone (201) 890-2225

3196 Kennedy Blvd
Ste 3
Union City, NJ 07087
Phone (201) 223-4949

Interoperability endpoints

  • Direct secure messaging: jmondejar327970@direct.englewoodhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1447029509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 RUTGERS ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092538",
            "telephone_number": "201-388-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024317",
            "telephone_number": "201-890-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Rutgers St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071092538",
            "country_code": "US",
            "telephone_number": "201-388-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDEJAR",
        "first_name": "JOSE",
        "middle_name": "LINO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14917500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.