Lisa Mondiello, AGNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ14893200 Issued in NJ

Practice address

50 Fox Rd Apt 2a
Edison, NJ 08817-4944

Phone

(718) 490-8439

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lisa.mondiello.p1@direct.aoa.nextgenshare.com

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1992518781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOX RD APT 2A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174944",
            "telephone_number": "718-490-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOX RD APT 2A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174944",
            "telephone_number": "718-490-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDIELLO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310742",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14893200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaelle Moise, MD
• Adam Moises Jr., DO
• Ian J Molk, M.D.
• Momcares Group Home LLC
• Momcares Group Home LLC
• Mayra Montufar
• Doo Sung Moon, MD
• Matthew Moore, D.O.
• Keri Morabito
• Jaime Alex Morales, M.D.

• Gerontology Nurse Practitioner in Edison, NJ
• Providers in Edison, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.