Active NPI
Julianne Gamino, BSN, RN
- Psychiatric/Mental Health Nurse Practitioner
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00976500
- Practice address
- 765 Route 70 E BLDG a-100
Marlton, NJ 08053-2341 - Phone
- (856) 983-3900
- NPI assigned
- Aug 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN642756 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00976500 | NJ | Primary |
Addresses
Primary practice location
765 Route 70 E BLDG a-100
Marlton, NJ 08053-2341
Mailing address
765 Route 70 E BLDG a-100
Marlton, NJ 08053-2341
Other practice location 1
1080 N Delaware Ave
Suite 300D
Philadelphia, PA 19125-4330
Phone (215) 287-2114
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN642756 | PA | MD | Registered Nurse |
| 26NJ00976500 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Center for Family Guidance PC | Past | Accepting new patients | |
| Inpathy Behavioral Healthcare Group LLC | Past | Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
Interoperability endpoints
- julianne.gamino.p1@direct.cfg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
Psychiatric/Mental Health
-
- Psychiatry Physician
- Marlton, NJ
- NPI 1801059076
-
- Psychiatry Physician
- Marlton, NJ
- NPI 1285099325
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1245664853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 ROUTE 70 E BLDG A-100",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 ROUTE 70 E BLDG A-100",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532341",
"telephone_number": "856-983-3900"
}
],
"practiceLocations": [
{
"address_1": "1080 N Delaware Ave",
"address_2": "Suite 300D",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191254330",
"country_code": "US",
"telephone_number": "215-287-2114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMINO",
"first_name": "JULIANNE",
"credential": "BSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN642756",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00976500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.