DR. LISA MARIE INDELICATO D.M.D
NPI 1396039087
Dentist in Long Branch, NJ

Active since May 31, 2011PECOS Enrolled
300 2ND AVE, LONG BRANCH, NJ 07740(732) 923-6585 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Lisa Marie Indelicato D.m.d NPPES

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

DR. LISA MARIE INDELICATO D.M.D (NPI 1396039087) is an individual dentist in Long Branch, New Jersey, licensed in New Jersey (22DI02471800) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396039087
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LISA MARIE INDELICATOCredential: D.M.D
Location Address300 2ND AVELong Branch, NJ 07740-6303
Mailing Address192 Spring StStaten Island, NY 10304-1428 · (718) 757-1284
Sole ProprietorYes
Enumeration DateMay 31, 2011
NPI 1396039087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NJ · 22DI02471800
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
300 2ND AVE, Long Branch, NJ 07740

Accepted Insurance

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 Indelicato D.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 07740 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner (Adult Health)
300 2ND AVE
LONG BRANCH, NJ 07740
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740

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 Indelicato's NPI number?

The NPI number for Lisa Indelicato is 1396039087. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Lisa Indelicato located?

Lisa Indelicato practices at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 923-6585.

What is Lisa Indelicato's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lisa Indelicato enrolled in Medicare?

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

What insurance does Lisa Indelicato accept?

Health plans from Humana list Lisa Indelicato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Indelicato was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.