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DR. ANGELA TARDANICO O.D.
NPI 1124114566
Optometrist in Lyons, NJ

Active since October 05, 2006PECOS Enrolled
151 KNOLLCROFT RD, LYONS, NJ 07939(908) 647-0180 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angela Tardanico O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELA TARDANICO O.D. (NPI 1124114566) is an individual optometrist in Lyons, New Jersey, licensed in New York (TUV006974) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124114566
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANGELA TARDANICOCredential: O.D.
Location Address151 KNOLLCROFT RDLyons, NJ 07939-5001
Mailing Address151 Knollcroft RdLyons, NJ 07939-5001
Phone(908) 647-0180
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1124114566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV006974
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
151 KNOLLCROFT RD, Lyons, NJ 07939
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Tardanico O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAKIMA A RAGO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (718) 404-4856
VANJ HEALTH CARE SYSTEM
General Acute Care Hospital
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
YUN M LEE LMSW
Social Worker (Clinical)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
DR. IRA EMANUEL WISOTZEK PH.D.
Psychologist (Clinical)
151 KNOLLCROFT RD, MENTAL HEALTH AND BEHAVIORAL SCIENCE
LYONS, NJ 07939
Somerset County (908) 647-0180
DR. MALINDA A. CAFIERO-CHIN O.D.
Optometrist
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
MRS. MICHELLE SHIMARA BENLOSS MSW
Social Worker
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 340-9137
RICHARD J. BYRNE JR. LSW
Social Worker
151 KNOLLCROFT RD, BLD 143CW
LYONS, NJ 07939
Somerset County (908) 647-0180
MS. JENNIFER DELPESCE LCSW
Social Worker (Clinical)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Tardanico's NPI number?

The NPI number for Angela Tardanico is 1124114566. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Angela Tardanico located?

Angela Tardanico practices at 151 Knollcroft Rd, Lyons, NJ 07939. The listed phone number is (908) 647-0180.

What is Angela Tardanico's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Angela Tardanico enrolled in Medicare?

Yes. Angela Tardanico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Tardanico was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.