NPI 1386389062 · live from the CMS NPI Registry
Victoria Marie Adimando, NP
Nurse Practitioner in Lakewood, NJ. National Provider Identifier 1386389062, active.
NPI record
| NPI | 1386389062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1382 Lanes Mill Rd Ste 201, Lakewood, NJ 08701 |
| Practice phone | 732-994-4242 |
| Mailing address | 1498 Clove Rd, Staten Island, NY 10301 |
| Enumerated | April 28, 2022 |
| Last updated | May 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 349349 (NY) |
| Nurse Practitioner primary | 363L00000X | 26NJ15043400 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.