Active NPI
Gina Ferraro Mormino, NNP
- Neonatal Nurse Practitioner
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 26NJ00621400
- Practice address
- 30 Prospect Ave BLDG Pc218
Hackensack, NJ 07601-1915 - Phone
- (551) 996-5362
- Fax
- (551) 996-3232
- NPI assigned
- Mar 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | F350350 | NY | |
| Neonatal Nurse Practitioner | 363LN0000X | 26NJ00621400 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave BLDG Pc218
Hackensack, NJ 07601-1915
Mailing address
30 Prospect Ave BLDG Pc218
Hackensack, NJ 07601-1915
Phone (551) 996-5362
Other practice location 1
455 Conklintown Rd
Ringwood, NJ 07456-2603
Phone (201) 739-3484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F350350 | NY | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Humc Medical Observation | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Bldg PC218
Hackensack, NJ 07601
Phone (551) 996-5362
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 6
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.
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- Internal Medicine Physician
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- NPI 1467815928
-
- Urology Physician
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- NPI 1053688572
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hackensack, NJ
- NPI 1730406414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1669712592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE BLDG PC218",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-5362",
"fax_number": "551-996-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE BLDG PC218",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-5362",
"fax_number": "551-996-3232"
}
],
"practiceLocations": [
{
"address_1": "455 Conklintown Rd",
"address_purpose": "LOCATION",
"city": "Ringwood",
"state": "NJ",
"postal_code": "074562603",
"country_code": "US",
"telephone_number": "201-739-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRARO MORMINO",
"first_name": "GINA",
"name_prefix": "Mrs.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-01",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "F350350",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NJ",
"license": "26NJ00621400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.