Individual provider Active NPI

Jacqueline Camuglia, FNP

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1538779194
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345982 Issued in NY
Practice address
100 New Turnpike Rd
Troy, NY 12182-1412
Phone
(518) 235-1410
NPI assigned
Aug 7, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345982 NY Primary

Addresses

Primary practice location

100 New Turnpike Rd
Troy, NY 12182-1412

Mailing address

100 New Turnpike Rd
Troy, NY 12182-1412
Phone (518) 235-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20230523002384 NY Practitioner - Nurse Practitioner 0941666556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

100 New Turnpike Rd
Troy, NY 12182-1412
Phone (914) 215-4748

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345982NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Medical Associate PLLC CurrentSince Apr 15, 2023 Accepting new patients
JC NP Family Health PLLC Family Current Accepting new patients
Statline Medical PC CurrentSince Dec 6, 2024 Accepting new patients

Locations

200 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-2000

300 Community Dr
Manhasset, NY 11030

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1538779194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW TURNPIKE RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821412",
            "telephone_number": "518-235-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW TURNPIKE RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821412",
            "telephone_number": "518-235-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMUGLIA",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.