Jacqueline Marisa Passariello, APN/RNFA

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ15155900 Issued in NJ

Practice address

2315 Route 34 S
Manasquan, NJ 08736-1444

Phone

(732) 974-0404

Fax

(732) 449-4271

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Orthopaedic Assoc PAGroup PAC ID 5597654475, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Professional Orthopaedic Assoc PA

  • Orthopaedic Surgery Physician
  • Tinton Falls, NJ
  • NPI 1669459855
  Medicare reassignment Care Compare group NPD
• Professional Orthopedics Assoc

  • Physical Therapist
  • Tinton Falls, NJ
  • NPI 1356385900
  NPD

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

• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1184461899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34 S",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34 S",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361444",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Bennett Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe Twp",
            "state": "NJ",
            "postal_code": "088312489",
            "country_code": "US",
            "telephone_number": "732-439-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSARIELLO",
        "first_name": "JACQUELINE",
        "middle_name": "MARISA",
        "credential": "APN/RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR21176200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15155900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Panasuk, D.C.
• Michael Joseph Panella, PH.D.
• Frederic Paperth, DMD
• Matthew Parker, PT
• M Kathleen Parte-Willbergh, M.A.
• Hiren Ramesh Patel, MD
• Sushma Patel, OD
• Stacey A Paukovitz, DPM
• Paxxon Healthcare Services LLC
• Sarah Jade Peace, LAC

• Adult Health Nurse Practitioner in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.