Individual provider Active NPI

Jolene Renee Ganiel, NP-C

  • Family Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1285936211
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00311700 Issued in NJ
Practice address
2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone
(609) 699-5750
Fax
(609) 699-5752
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00311700 NJ Primary

Addresses

Primary practice location

2106 New Rd Ste F2
Linwood, NJ 08221-1053

Mailing address

2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone (609) 699-5750

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000092 NJ Practitioner - Nurse Practitioner 8022295609 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00311700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Healthcare LLC CurrentSince Jul 1, 2025 Accepting new patients
Coastal Medical Care LLC Current Accepting new patients
Shore Memorial Physicians Group PC CurrentSince Nov 1, 2020 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 16, 2017 Accepting new patients
Atlanticare Physician Group PA CurrentSince Mar 16, 2017 Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Locations

2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750

2106 New Rd
Ste F1
Linwood, NJ 08221
Phone (609) 699-5750

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

1418 New Rd
Ste 1C
Northfield, NJ 08225
Phone (609) 699-5750

6410 New Jersey Ave
Wildwood Crst, NJ 08260
Phone (609) 522-1404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1285936211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIEL",
        "first_name": "JOLENE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00311700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.