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DR. LISA MARIE GUDICELLO M.D.
NPI 1386794576
Ophthalmology in Ridgewood, NJ

Active since January 11, 2007PECOS Enrolled
440 NORTHERN PKWY, RIDGEWOOD, NJ 07450(201) 220-2654(201) 220-2654 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2023, Jan 20, 2021 (2 updates tracked since 2021).

About Dr. Lisa Marie Gudicello M.d. NPPES

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

DR. LISA MARIE GUDICELLO M.D. (NPI 1386794576) is an individual ophthalmology provider in Ridgewood, New Jersey, licensed in New York (318455) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386794576
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. LISA MARIE GUDICELLOCredential: M.D.
Location Address440 NORTHERN PKWYRidgewood, NJ 07450-1721
Mailing Address440 Northern PkwyRidgewood, NJ 07450-1721 · (201) 220-2654 · Fax (201) 220-2654
Phone(201) 220-2654
Fax(201) 220-2654
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1386794576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NY · 318455✔ Licensed in NJ · MA06926700
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
440 NORTHERN PKWY, Ridgewood, NJ 07450
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Marie Gudicello M.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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Gudicello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Care Vision Optometry PC
26 mi
Optometrist
260 CHRISTOPHER LN STE 102A
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
NPI 1851983654 (646) 921-1738

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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.

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 Lisa Gudicello's NPI number?

The NPI number for Lisa Gudicello is 1386794576. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Lisa Gudicello located?

Lisa Gudicello practices at 440 Northern Pkwy, Ridgewood, NJ 07450. The listed phone number is (201) 220-2654.

What is Lisa Gudicello's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lisa Gudicello enrolled in Medicare?

Yes. Lisa Gudicello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Gudicello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gudicello reassigns Medicare benefits to Eye Care Vision Optometry PC (Staten Island, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Gudicello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Gudicello was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.