Individual provider Active NPI

Jessi D Giacoppo, CRNA

  • Certified Registered Nurse Anesthetist
  • Lakewood, NJ
National Provider Identifier
1740414135
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00242400 Issued in NJ
Practice address
360 Route 70
Lakewood, NJ 08701-5823
Phone
(732) 942-9835
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NJ00242400 NJ Primary

Addresses

Primary practice location

360 Route 70
Lakewood, NJ 08701-5823

Mailing address

PO Box 307
Neptune, NJ 07754-0307
Phone (732) 897-0200

Other practice location 1

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

Other practice location 2

540 Bordentown Ave
South Amboy, NJ 08879-1546
Phone (732) 525-2227

Other practice location 3

1945 Highway 33
Neptune, NJ 07753-4859
Phone (732) 897-0200

Other identifiers 1

IdentifierTypeStateIssuer
26NO12366200OtherNJMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000579 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709937204 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Ambulatory Anesthesia LLC CurrentSince Apr 1, 2016 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Oct 6, 2018 Accepting new patients
Jersey Shore Anesthesiology Associates PA CurrentSince Apr 19, 2009 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Jun 20, 2023 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Apr 1, 2016 Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Nov 1, 2023 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jun 22, 2024 Accepting new patients
Morris Anesthesia Group, PA PastSince Mar 20, 2022 Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

901 W Main St
Ste 302
Freehold, NJ 07728
Phone (732) 303-1616

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • Direct secure messaging: jgiacoppo425136@direct.ahsys.org

Organizations & group practices 9

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 4

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1740414135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077540307",
            "telephone_number": "732-897-0200",
            "fax_number": "732-897-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015823",
            "telephone_number": "732-942-9835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Jack Martin Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247732",
            "country_code": "US",
            "telephone_number": "732-840-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Bordentown Ave",
            "address_purpose": "LOCATION",
            "city": "South Amboy",
            "state": "NJ",
            "postal_code": "088791546",
            "country_code": "US",
            "telephone_number": "732-525-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Highway 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-897-0200",
            "fax_number": "732-897-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIACOPPO",
        "first_name": "JESSI",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00242400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "26NO12366200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.