Jill Melinda Magioncalda, MSN, APRN, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00792200 Issued in NJ

Practice address

200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521

Phone

(973) 559-0081

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

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

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vanguard Medical Group PAGroup PAC ID 5092751842, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
• Direct secure messaging: jill.magioncalda.1@25493.direct.athenahealth.com

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.

• Vanguard Medical Group, PA

  dba Town Medical Associates, P.A.

  • Family Medicine Physician
  • Verona, NJ
  • NPI 1073674412
  Medicare reassignment Care Compare group NPD
• Primary Care for the Homebound PA

  • Home Health Agency
  • Verona, NJ
  • NPI 1609206671
  NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1215117247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAS OLAS BLVD APT 1503S",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127164",
            "telephone_number": "203-979-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE STE 100B",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281521",
            "telephone_number": "973-559-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Elmwood Ter",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070365810",
            "country_code": "US",
            "telephone_number": "203-979-2537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Las Olas Blvd Apt 1503S",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333127164",
            "country_code": "US",
            "telephone_number": "203-979-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGIONCALDA",
        "first_name": "JILL",
        "middle_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3348033",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "F4009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00792200",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "149123030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "11035627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Levai, MD
• Sangjin Lim, D.O.
• Lloyd I. S. Zbar, MD, PA
• London Private LLC (Sun Pharmacy)
• Janet P Mack, RN, MSN, APN-C
• Magnus Imaging, LLC
• Hassan Malik
• Rachel Manez
• Maranatha Pharmacy Services (Transformational Pharmacy Services)
• Domenic L Mariano, DO

• Family Nurse Practitioner in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.