Active NPI
Theresa Giammarino, PA-C
- Surgical Physician Assistant
- Manasquan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00297600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012400 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Institute of Central Jersey | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Orthonj LLC | Current | Accepting new patients | |
| Orthonj LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
-
- Orthopaedic Surgery of the Spine Physician
- New York City, NY
- NPI 1497929202
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
-
- Orthopaedic Surgery Physician
- Red Bank, NJ
- NPI 1598263360
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.