Individual provider Active NPI

Theresa Giammarino, PA-C

  • Surgical Physician Assistant
  • Manasquan, NJ
National Provider Identifier
1053556282
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00297600 Issued in NJ
Practice address
2315 Route 34
Manasquan, NJ 08736-1444
Phone
(732) 974-0404
Fax
(732) 449-4271
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00297600 NJ
Surgical Physician Assistant 363AS0400X 25MP00297600 NJ Primary

Addresses

Primary practice location

2315 Route 34
Manasquan, NJ 08736-1444

Mailing address

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090303000088 NY Practitioner - Physician Assistant 6901962778 Reassigns benefits to 1 organization
I20200820001932 NJ Practitioner - Physician Assistant 6901962778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

226 Route 37 W
Toms River, NJ 08755-8047
Phone (732) 240-6060

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

365 Broad St
Red Bank, NJ 07701-2150
Phone (732) 933-4300

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012400NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Central Jersey CurrentSince Aug 1, 2020 Accepting new patients
Humc Opco LLC Current Accepting new patients
Orthonj LLC CurrentSince Jan 1, 2021 Accepting new patients
Orthonj LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2035 Lincoln Hwy
Edison, NJ 08817
Phone (732) 974-0404

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

2164 Route 35
Bldg A
Sea Girt, NJ 08750
Phone (732) 240-6060

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

Interoperability endpoints

  • Direct secure messaging: theresa.giammarino@direct.hobokenumc.md

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1053556282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMMARINO",
        "first_name": "THERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00297600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00297600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.