MISS LAUREN M ONDERDONK (M.S.) – Speech-Language Pathologist, NPI 1003247594

MISS LAUREN M ONDERDONK (M.S.) is a healthcare provider. based in Bloomfield, New Jersey. specializing in Speech-Language Pathologist. They hold the professional credentials M.S.. They hold a License No. TL-2290 (NJ). The NPI Number for MISS LAUREN M ONDERDONK (M.S.) is 1003247594

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MISS LAUREN M ONDERDONK (M.S.)
NPI
1003247594
Phone
(201) 207-1457
Address
19 CARLTON TERRACE
Enumeration Date
9 December 2013
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2013 (13 years ago)
PAC ID
2264768167
Group Practice PAC ID
0143133009
Professional Enrollment ID
I20190731000394
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MISS LAUREN M ONDERDONK (M.S.)

  • 19 CARLTON TERRACE

    BLOOMFIELD, NJ 07003

    Phone: (201) 207-1457

    Type: Mailing

  • 19 CARLTON TER

    BLOOMFIELD, NJ 070035307

    Phone: (201) 207-1457

    Type: Mailing

  • 18-01 POLLITT DR

    FAIR LAWN, NJ 07410

    Phone: (201) 478-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190731000394IQualified Speech Language PathologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143133009View full group profile

Reviews

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Frequently asked questions

What is the registry number for MISS LAUREN M ONDERDONK (M.S.)?
The registry entry for MISS LAUREN M ONDERDONK (M.S.) shows NPI 1003247594.
Quick check: is MISS LAUREN M ONDERDONK (M.S.) active?
Public NPPES data shows MISS LAUREN M ONDERDONK (M.S.) with an active NPI status right now.
How should patients interpret MISS LAUREN M ONDERDONK (M.S.)'s specialty?
The extract shows Speech-Language Pathologist for MISS LAUREN M ONDERDONK (M.S.). Clinical services aligned with this taxonomy classification.
Is MISS LAUREN M ONDERDONK (M.S.) tied to Bloomfield, New Jersey?
If you are local to Bloomfield, New Jersey, MISS LAUREN M ONDERDONK (M.S.) may be relevant to your search.
Can I export MISS LAUREN M ONDERDONK (M.S.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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