Gianna Marie Sandomenico, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NR18464500 Issued in NJ

Practice address

51 JFK Pkwy
Short Hills, NJ 07078-2704

Phone

(917) 582-6622

Fax

(888) 974-2142

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nynj Psychiatric Associates LLC

  • Psychiatry Physician
  • Short Hills, NJ
  • NPI 1477859544
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1407636392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 POVERSHON RD",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102005",
            "telephone_number": "201-687-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JFK PKWY",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782704",
            "telephone_number": "917-582-6622",
            "fax_number": "888-974-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOMENICO",
        "first_name": "GIANNA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR18464500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Homecare LLC (Royal Caregivers)
• Susan Basra Rubino, M.D.
• Phaedra Ruddock-Dunn, LSW
• Amy Sadeghi, L.S.W.
• Mark M Samaan, PHARMD
• Krystyn Santiago, PMHNP
• Niel Santiago, PT, CEAS
• Sarenac Emergency Associates
• Savitri Savitrifrizzell, LMT
• Cynthia Sawh-Vazquez, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.