Yanet Montiel Garnica, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01135700 Issued in NJ

Practice address

377 Jersey Ave Ste 310
Jersey City, NJ 07302-4397

Phone

(201) 499-3900

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1043899966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 JACKSON ST APT 302",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934688",
            "telephone_number": "305-528-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 310",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024397",
            "telephone_number": "201-499-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL GARNICA",
        "first_name": "YANET",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01135700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lsmnj.org",
            "affiliation": "N",
            "address_1": "377 Jersey Ave Ste 310",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073024397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Romina Montti
• Tameka Moore-Stuht
• Christopher David Moore, O.D.
• Kiara Elisa Moore, LMT
• Lesley A Moore, LCSW

• Gerontology Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.