Individual provider Active NPI

Arielle Gannon, APN

  • Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1225513849
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14928700 Issued in NJ
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

Updated by the provider on May 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531002494 NJ Practitioner - Nurse Practitioner 7214379585 Reassigns benefits to 4 organizations
I20241001000077 NY Practitioner - Nurse Practitioner 7214379585 Reassigns benefits to 1 organization

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
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

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

LicenseStateTypeSpecialty
742231NYMDRegistered Nurse
26NJ14928700NJMDNurse Practitioner
F352447NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Emergency Medicine Associates, LLC Nurse Practitioner CurrentSince Sep 20, 2025 Accepting new patients
Ihpnj ER LLC CurrentSince Jul 1, 2024 Accepting new patients
Rwjbh Observation Associates LLC Nurse Practitioner CurrentSince Sep 20, 2025 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Sep 1, 2024 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.

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

Verify at the official NPI Registry.