Giselle A Jimenez Caceres, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

317612 Issued in NY

Practice address

1276 Fulton Ave
Bronx, NY 10456-3402

Phone

(718) 908-8249

NPI assigned

Mar 27, 2018

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 NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.48 of 100Reported as apm

Quality

82.91

Promoting interoperability

5.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: gjimenezcaceres487475@direct.ahsys.org
• Direct secure messaging: giselle.jimenez-caceres.1@19656.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

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.

• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment Care Compare group NPD
• CCN General Medicine PLLC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1902120025

  Family Medicine

  Medicare reassignment NPD
• Atlantic Urgent Care, LLC

  • General Practice Physician
  • Newton, NJ
  • NPI 1023358959
  Medicare reassignment NPD
• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313

  Family Medicine

  Medicare reassignment NPD
• Amboy Medical Practice PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104692672
  NPD
• Blue Skin Laser Spa, Inc

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1053149930
  NPD
• William R. Collini, M.D., P.a.

  • Specialist
  • Newton, NJ
  • NPI 1144426602
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1245735745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052063",
            "telephone_number": "347-229-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-908-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 High Street",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078603402",
            "country_code": "US",
            "telephone_number": "973-383-9898",
            "fax_number": "973-383-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 Lafayett Road Suite 101",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078713402",
            "country_code": "US",
            "telephone_number": "973-383-9898",
            "fax_number": "973-383-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Red School Lane",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088653402",
            "country_code": "US",
            "telephone_number": "908-760-3270",
            "fax_number": "908-441-1297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ CACERES",
        "first_name": "GISELLE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "317612",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11670100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nargis Jilani
• Bun Jim
• Lorretha O Jimbes
• Ricky Jordy Jimenez Alvarez
• Albert Jose Jimenez Cabrera, LMSW
• Jennifer Yazmin Jimenez Cardona, DMD
• Jimenez Diaz Support Services LLC
• Jessica Jimenez Dominguez
• Johnny Eduardo Jimenez Lopez, MD
• Thelma Rocio Jimenez Mosquea, MD

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.