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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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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