Active NPI
Gina Marie Giazzoni, N.P.
- Acute Care Nurse Practitioner
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 67059
- Practice address
- 202 S Park St
Madison, WI 53715-1507 - Phone
- (608) 417-6000
- Fax
- (608) 417-5890
- NPI assigned
- May 23, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 67059 | NM | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 6848 | WI | |
| Acute Care Nurse Practitioner | 363LA2100X | 101.0091929 | VT | |
| Acute Care Nurse Practitioner | 363LA2100X | RN2285730 | MA |
Addresses
Primary practice location
202 S Park St
Madison, WI 53715-1507
Mailing address
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023112 | Medicaid | VT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7272
350 Forsgate Dr
Monroe, NJ 08831-5155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2285730 | MA | MD | Acute Care Nurse Practitioner |
| 67059 | NM | MD | Acute Care Nurse Practitioner |
| 101.0091929 | VT | MD | Acute Care Nurse Practitioner |
| 6848 | WI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients |
Locations
350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Otolaryngology Physician
- Hillsborough, NJ
- NPI 1962977249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1093152605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-6000",
"fax_number": "608-417-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-6000",
"fax_number": "608-417-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAZZONI",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "67059",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WI",
"license": "6848",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VT",
"license": "101.0091929",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN2285730",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023112",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.