Grace Amistoso, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NC06249800 Issued in NJ

Practice address

Lock Bag & Woodbrige Ave
E Jersey State Prison Attn Medical Dept
Woodbridge, NJ 07067

Phone

(732) 499-5010

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By 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

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

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.

• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1023266962
  Medicare reassignment NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  NPD

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1063848885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBAG R",
            "address_2": "E JERSEY STATE PRISON ATTN MEDICAL DEPT",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07106",
            "telephone_number": "732-399-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOCK BAG & WOODBRIGE AVE",
            "address_2": "E JERSEY STATE PRISON ATTN MEDICAL DEPT",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07067",
            "telephone_number": "732-499-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISTOSO",
        "first_name": "GRACE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NC06249800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Agyeman, M.A., NCC, LAC
• Mahmood Alam, MD
• Christine Alcobendas
• Allcare Medical and Pain Management Group PA
• Jalissa Allen, LSW
• Andrew B. Rajapakse, MD PA
• Apexcore Supplies
• Nora Aresti, COTA
• Yanelys Arias
• Karishma Arora, OD

• Nurse Practitioner in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.