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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA BODOLLO
NPI 1740111913
Student in an Organized Health Care Education/Training Program in Teaneck, NJ

Active since May 27, 2026
310 CEDAR LN, TEANECK, NJ 07666(201) 541-8600 Get Directions Write a Review

NPPES record added: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Bodollo NPPES

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

LISA BODOLLO (NPI 1740111913) is an individual student in an organized health care education/training program in Teaneck, New Jersey and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1740111913
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA BODOLLO
Location Address310 CEDAR LNTeaneck, NJ 07666-3441
Mailing Address27 Orchard RdMaplewood, NJ 07040-1919 · (513) 617-4439
Phone(201) 541-8600
Sole ProprietorYes
Enumeration DateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1740111913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
310 CEDAR LN, Teaneck, NJ 07666
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

HEN LERRER
Student in an Organized Health Care Education/Training Program
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 541-8100
AIESHA T GIBBONS
Counselor (Mental Health)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 541-8600
MRUTYUNJAY BIRA I
Counselor (Mental Health)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 962-6443
JULIA RESNICK
Social Worker (Clinical)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 541-8600
PATRICIA LESLIE
Social Worker (Clinical)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 598-8702
PEARL GOLDENBERG
Social Worker (Clinical)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 541-8600
REBECCA ANNE ENNIS-PAEZ MSW
Social Worker (Clinical)
310 CEDAR LN
TEANECK, NJ 07666
Bergen County (201) 541-8600
BERNICE GOLD L.C.S.W.
Social Worker (Clinical)
310 CEDAR LN, 3RD FL.
TEANECK, NJ 07666
Bergen County (201) 836-7666

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 Bodollo's NPI number?

The NPI number for Lisa Bodollo is 1740111913. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Where is Lisa Bodollo located?

Lisa Bodollo practices at 310 Cedar Ln, Teaneck, NJ 07666. The listed phone number is (201) 541-8600.

What is Lisa Bodollo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lisa Bodollo was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.