Active NPI
Michael Mxemill Jacinto Quiao, APN
- Acute Care Nurse Practitioner
- Edison, NJ
National Provider Identifier
1366197592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ01272200
- Practice address
- 65 James St
Edison, NJ 08820-3947 - Phone
- (732) 321-7000
- NPI assigned
- Feb 16, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01272200 | NJ | Primary |
Addresses
Primary practice location
65 James St
Edison, NJ 08820-3947
Mailing address
4032 Tremont Ave
Egg Harbor Township, NJ 08234-5714
Phone (609) 335-4507
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1366197592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 TREMONT AVE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345714",
"telephone_number": "609-335-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIAO",
"first_name": "MICHAEL MXEMILL",
"middle_name": "JACINTO",
"name_prefix": "Mr.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-16",
"last_updated": "2024-04-21",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ01272200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.