Individual provider Active NPI

Joanna Paradiso

  • Family Nurse Practitioner
  • Woodbridge, NJ
National Provider Identifier
1033754783
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN Issued in GA
Practice address
900 Woodbridge Center Dr
Woodbridge, NJ 07095-1324
Phone
(404) 916-6420
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN GA Primary

Addresses

Primary practice location

900 Woodbridge Center Dr
Woodbridge, NJ 07095-1324

Mailing address

900 Woodbridge Center Dr
Woodbridge, NJ 07095-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230602001947 NJ Practitioner - Nurse Practitioner 5890152003 Reassigns benefits to 2 organizations
I20231129003737 GA Practitioner - Nurse Practitioner 5890152003 Reassigns benefits to 1 organization
I20241115000356 NY Practitioner - Nurse Practitioner 5890152003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNGAMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 2, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 22, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 9, 2024 Accepting new patients
Mohammad a Zubair MD LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

201 Lyons Ave
#D3
Newark, NJ 07112
Phone (201) 926-8203

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

900 Woodbridge Center Dr
Woodbridge, NJ 07095
Phone (732) 636-4111

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1033754783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WOODBRIDGE CENTER DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WOODBRIDGE CENTER DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951324",
            "telephone_number": "404-916-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISO",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.