Active NPI
Joanne Gambo, CRNP
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1306176326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- UPOO5998D
- Practice address
- 34TH St and Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 08107 - Phone
- (856) 858-2287
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | UPOO5998D | PA | Primary |
Addresses
Primary practice location
34TH St and Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 08107
Mailing address
111 E Beechwood Ave Apt 15
Oaklyn, NJ 08107-1363
Phone (856) 858-2287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UPOO5998D | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1306176326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E BEECHWOOD AVE APT 15",
"city": "OAKLYN",
"state": "NJ",
"postal_code": "081071363",
"telephone_number": "856-858-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH ST AND CIVIC CENTER BLVD",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "08107",
"telephone_number": "856-858-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBO",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "UPOO5998D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.