Individual provider Active NPI

Nancy Marie Giunta, PA

  • Physician Assistant
National Provider Identifier
1063403640
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
156 Issued in MA
Practice address
LRMC, CMR 402
Box 1917
Apo, AE 09180
Phone
4868202
NPI assigned
Nov 2, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 156 MA Primary

Addresses

Primary practice location

LRMC, CMR 402
Box 1917
Apo, AE 09180

Mailing address

LRMC, CMR 402
Box 1917
Apo, AE 09180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Oct 1, 2019 Accepting new patients
Orthopaedic Associates Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1153 Centre St
#54
Jamaica Plain, MA 02130
Phone (617) 522-1734

1153 Centre St
Ste 54
Jamaica Plain, MA 02130
Phone (617) 522-1734

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1063403640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "LRMC, CMR 402",
            "address_2": "BOX 1917",
            "city": "APO",
            "state": "AE",
            "postal_code": "09180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "LRMC, CMR 402",
            "address_2": "BOX 1917",
            "city": "APO",
            "state": "AE",
            "postal_code": "09180",
            "telephone_number": "4868202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUNTA",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.