Active NPI
Carla Giannobile, L.AC.
- Acupuncturist
- Bayonne, NJ
National Provider Identifier
1467712075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00089400
- Practice address
- 866 Broadway Ste a
Bayonne, NJ 07002-3062 - Phone
- (201) 436-7111
- NPI assigned
- May 17, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25004779 | NY | |
| Acupuncturist | 171100000X | AK001038 | PA | |
| Acupuncturist | 171100000X | 25MZ00089400 | NJ | Primary |
Addresses
Primary practice location
866 Broadway Ste a
Bayonne, NJ 07002-3062
Mailing address
185 W 22ND St
Bayonne, NJ 07002-1511
Phone (201) 401-1094
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 |
|---|---|---|---|
| 25MZ00089400 | NJ | MD | Acupuncturist |
| 25004779 | NY | MD | Acupuncturist |
| AK001038 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1467712075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 W 22ND ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021511",
"telephone_number": "201-401-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "866 BROADWAY STE A",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023062",
"telephone_number": "201-436-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNOBILE",
"first_name": "CARLA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "25004779",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001038",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00089400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.