Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Marie Gudicello, MD

Individual provider Ophthalmology Physician · NPI 1386794576

Dr. Lisa Marie Gudicello, MD is an Ophthalmology Physician in Ridgewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

440 Northern Pkwy
Ridgewood, NJ 07450-1721
Phone: (201) 220-2654
Fax: (201) 220-2654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 318455 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence MA06926700 (NJ)

Record details

NPI number1386794576
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

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