Individual provider Active NPI

Lizeth C Ordonez

  • Gerontology Nurse Practitioner
  • South Plainfield, NJ
National Provider Identifier
1932843539
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01243300 Issued in NJ
Practice address
2509 Park Ave Ste 1a
South Plainfield, NJ 07080-5300
Phone
(908) 668-8290
Fax
(908) 561-4914
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01243300 NJ Primary

Addresses

Primary practice location

2509 Park Ave Ste 1a
South Plainfield, NJ 07080-5300

Mailing address

30 Peake Rd
Edison, NJ 08837-2727
Phone (201) 779-0699

Other practice location 1

491 New Brunswick Ave
Perth Amboy, NJ 08861-3653
Phone (732) 324-8033

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
I20230818000671 NJ Practitioner - Nurse Practitioner 4587026885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01243300NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Plainfield Primary Care Current Accepting new patients
Saint Peter's University Hospital CurrentSince May 8, 2023 Accepting new patients
Saint Peter's University Hospital CurrentSince May 8, 2023 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

491 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-8033

2509 Park Ave
Ste 1A
South Plainfield, NJ 07080
Phone (908) 668-8290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lizeth.ordonez.1@8568.direct.athenahealth.com

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, 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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1932843539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PEAKE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372727",
            "telephone_number": "201-779-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE STE 1A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805300",
            "telephone_number": "908-668-8290",
            "fax_number": "908-561-4914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 New Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613653",
            "country_code": "US",
            "telephone_number": "732-324-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDONEZ",
        "first_name": "LIZETH",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01243300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.