Active NPI
Jaime Jo Costagliola, MSN, APN, CEN
- Gerontology Nurse Practitioner
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01028700
- Practice address
- 1 College Dr Ste 103
Toms River, NJ 08753-2239 - Phone
- (732) 797-9850
- NPI assigned
- Mar 26, 2020
- Last updated
- Dec 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01028700 | NJ | Primary |
Addresses
Primary practice location
1 College Dr Ste 103
Toms River, NJ 08753-2239
Mailing address
1639 West Princeton Avenue
Brick Township, NJ 08724
Other names 1
- Jaime Jo Muscianesi
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Route 70
Suite C
Lakewood, NJ 08701-6036
Phone (732) 719-8149
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01028700 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Primary Care Services | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients |
Locations
1255 Route 70
Ste C
Lakewood, NJ 08701
Phone (732) 719-8149
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
1 College Dr
Ste 103
Toms River, NJ 08753
Phone (732) 797-9850
953 Fischer Blvd
Ste 2
Toms River, NJ 08753
Phone (732) 235-5530
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- jcostagliola97904@epicdirect.rwjbh.org
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.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
-
- Specialist
- West Orange, NJ
- NPI 1447206420
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1134756323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 WEST PRINCETON AVENUE",
"city": "BRICK TOWNSHIP",
"state": "NJ",
"postal_code": "08724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLLEGE DR STE 103",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532239",
"telephone_number": "732-797-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTAGLIOLA",
"first_name": "JAIME",
"middle_name": "JO",
"credential": "MSN, APN, CEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01028700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "MUSCIANESI",
"middle_name": "JO",
"credential": "MSN, APN, CEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toms River, NJ
- Elaine Corona, LCSW
- Gabrielle Corpuz, PA-C
- Corr Health Ec, PC
- Jessica Michele Corring, MS-CCC SLP
- Alissa M Cortez, PA-C
- Francis H. Costello, DDS
- Counseling Center at Toms River LLC
- Rebecca A Cozza, OTR
- CPL (Bey Lea Village) LLC (Bey Lea Village Nursing and Rehabilitation Center)
- CPL Bey Lea LLC (Bey Lea Village Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.