Individual provider Active NPI

Jaime Jo Costagliola, MSN, APN, CEN

  • Gerontology Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1134756323
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01028700 Issued in NJ
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001000112 NJ Practitioner - Nurse Practitioner 4284053877 Reassigns benefits to 2 organizations

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
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
26NJ01028700NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince Dec 12, 2023 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jul 6, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.