Active NPI
Arielle Gannon, APN
- Nurse Practitioner
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ14928700
- Practice address
- 20 Prospect Ave
Hackensack, NJ 07601-1997 - Phone
- (551) 996-2608
- Fax
- (551) 996-0826
- NPI assigned
- Sep 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 742231 | NY | |
| Family Nurse Practitioner | 363LF0000X | F352447 | NY | |
| Nurse Practitioner | 363L00000X | 26NJ14928700 | NJ | Primary |
Addresses
Primary practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Phone (732) 807-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 Broadway
Bayonne, NJ 07002-3713
Phone (201) 716-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742231 | NY | MD | Registered Nurse |
| 26NJ14928700 | NJ | MD | Nurse Practitioner |
| F352447 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| Ihpnj ER LLC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Nurse Practitioner | Current | Accepting new patients |
| Excel Urgent Care of Wantagh PLLC | Current | Accepting new patients | |
| Therapy and Learning Center, Inc. | Past | Accepting new patients |
Locations
519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
613 Park Ave
Ste 2
East Orange, NJ 07017
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
156 W 56th St
New York, NY 10019
Phone (212) 622-9200
7001 Amboy Rd
Staten Island, NY 10307
Phone (347) 838-6991
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Nurse Practitioner
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1750690269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1225513849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "551-996-2608",
"fax_number": "551-996-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "ARIELLE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "742231",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352447",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ14928700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.