Individual provider Active NPI

Teresa Elizabeth Giamboy, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1679956122
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP015049 Issued in PA
Practice address
10800 Knights Rd
Suite 214
Philadelphia, PA 19114-4200
Phone
(215) 612-5050
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP015049 PA Primary

Addresses

Primary practice location

10800 Knights Rd
Suite 214
Philadelphia, PA 19114-4200

Mailing address

10800 Knights Rd
Suite 214
Philadelphia, PA 19114-4200
Phone (215) 612-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160909001008 PA Practitioner - Nurse Practitioner 2961798475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 612-5050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 4, 2016 Accepting new patients
Aria Health Physician Services CurrentSince Jul 4, 2016 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Jefferson University Physicians CurrentSince Jul 29, 2018 Accepting new patients
Aria Health Physician Services Past Accepting new patients
Jefferson University Physicians PastSince Jul 29, 2018 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1300 Wolf St
Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

3998 Red Lion Rd
Ste 214
Philadelphia, PA 19114
Phone (215) 612-5050

10800 Knights Rd
Ste 214
Philadelphia, PA 19114
Phone (215) 612-5050

834 Walnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 503-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1679956122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "address_2": "SUITE 214",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "address_2": "SUITE 214",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBOY",
        "first_name": "TERESA",
        "middle_name": "ELIZABETH",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP015049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.