Active NPI
Michael Giannella, AUD
- Electroneurodiagnostic Specialist/Technologist
- Piscataway, NJ
National Provider Identifier
1700399383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3889
- Practice address
- 200 Centennial Ave Ste 200
Piscataway, NJ 08854-3950 - Phone
- (732) 595-2444
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 3889 | NJ | Primary |
Addresses
Primary practice location
200 Centennial Ave Ste 200
Piscataway, NJ 08854-3950
Mailing address
200 Centennial Ave Ste 200
Piscataway, NJ 08854-3950
Phone (732) 595-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3889 | NJ | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1700399383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CENTENNIAL AVE STE 200",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543950",
"telephone_number": "732-595-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CENTENNIAL AVE STE 200",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088543950",
"telephone_number": "732-595-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNELLA",
"first_name": "MICHAEL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NJ",
"license": "3889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.