NPIMap

Individual provider Active NPI

Gianna Davanzo, PA-C

  • Physician Assistant
  • Phillipsburg, NJ
National Provider Identifier
1487296174
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00547800 Issued in NJ
Practice address
200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone
(908) 847-1035
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00547800 NJ Primary

Addresses

Primary practice location

200 Strykers Rd
Phillipsburg, NJ 08865-9488

Mailing address

200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone (908) 847-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191119001744 NJ Practitioner - Physician Assistant 8426480146 Reassigns benefits to 2 organizations
I20231002000141 PA Practitioner - Physician Assistant 8426480146 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

187 County Rd
Belvidere, NJ 07823-1900

200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone (908) 847-1035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 3, 2022 Accepting new patients
St Luke'S Hospital CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Jul 19, 2023 Accepting new patients
St Luke'S Hospital CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jul 19, 2023 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 3, 2022 Accepting new patients
GSL Hospital CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Hosptial CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jul 19, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

187 County Road 519
Ste 1
Belvidere, NJ 07823
Phone (908) 847-3418

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

185 Roseberry St
Fl 2
Phillipsburg, NJ 08865
Phone (908) 847-2621

409 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0029

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: gianna.davanzo@slpg.direct-sluhn.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1487296174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STRYKERS RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659488",
            "telephone_number": "908-847-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STRYKERS RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659488",
            "telephone_number": "908-847-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANZO",
        "first_name": "GIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00547800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.