Active NPI
Michael Giglio, MD PA
- Specialist
- Hawthorne, NJ
National Provider Identifier
1285883298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03367400
- Legal business name
- MICHAEL GIGLIO, MD PA
- Practice address
- 623 Lafayette Ave
Hawthorne, NJ 07506-2439 - Phone
- (973) 423-3833
- Fax
- (973) 423-4335
- NPI assigned
- Sep 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Giglio, MD
- Title
- Sole Proprietor
- Phone
- (973) 423-3833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03367400 | NJ | Primary |
Addresses
Primary practice location
623 Lafayette Ave
Hawthorne, NJ 07506-2439
Mailing address
623 Lafayette Ave
Hawthorne, NJ 07506-2439
Phone (973) 423-3833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3042600 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1285883298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 LAFAYETTE AVE",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062439",
"telephone_number": "973-423-3833",
"fax_number": "973-423-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 LAFAYETTE AVE",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062439",
"telephone_number": "973-423-3833",
"fax_number": "973-423-4335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL GIGLIO, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "GIGLIO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "973-423-3833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03367400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3042600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.