Individual provider Active NPI

Jennifer Giardina

  • Adult Health Nurse Practitioner
  • Brookfield, CT
National Provider Identifier
1609395656
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308272-1 Issued in NY
Practice address
60 Old New Milford Rd Ste 3E
Brookfield, CT 06804-2414
Phone
(203) 684-1747
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F308272-1 NY Primary

Addresses

Primary practice location

60 Old New Milford Rd Ste 3E
Brookfield, CT 06804-2414

Mailing address

21 Osborn Farm Rd
Weston, CT 06883-1045
Phone (914) 772-4056

Other practice location 1

122 E 76th St
New York, NY 10021-2833
Phone (914) 772-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20221118000724 CT Practitioner - Nurse Practitioner 1951662329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Connecticut, PCGroup PAC ID 6709779887, 21 clinicians

Practice addresses (Care Compare)

60 Old New Milford Rd
Suite 3E
Brookfield, CT 06804-2414
Phone (203) 775-6205

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9772CTMDProfessional Counselor
F308272-1NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jenniferhartzband@oscpc.allscriptsdirect.net

Organizations & group practices 1

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.

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1609395656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OSBORN FARM RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831045",
            "telephone_number": "914-772-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD RD STE 3E",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042414",
            "telephone_number": "203-684-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 E 76th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212833",
            "country_code": "US",
            "telephone_number": "914-772-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIARDINA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308272-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.