Individual provider Active NPI

Emily K Giaimo, APN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Mountainside, NJ
National Provider Identifier
1760841688
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00609300 Issued in NJ
Practice address
150 New Providence Rd
Mountainside, NJ 07092-2590
Phone
(908) 301-5534
NPI assigned
Feb 19, 2016
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00609300 NJ Primary

Addresses

Primary practice location

150 New Providence Rd
Mountainside, NJ 07092-2590

Mailing address

150 New Providence Rd
Mountainside, NJ 07092-2590

Other practice location 1

804 W Park Ave
Ocean, NJ 07712-7272
Phone (732) 531-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190117003706 NJ Practitioner - Nurse Practitioner 0749526382 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

150 New Providence Rd
Mountainside, NJ 07092-2590
Phone (908) 233-3720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Specialized Hospital CurrentSince Dec 4, 2018 Accepting new patients
Children' Specialized Hospital CurrentSince Dec 4, 2018 Accepting new patients
Childrens Specialized Hospital Past Accepting new patients

Locations

150 New Providence Rd
Mountainside, NJ 07092

200 Somerset St
New Brunswick, NJ 08901
Phone (732) 258-7000

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3575 Quakerbridge Rd
Trenton, NJ 08619
Phone (609) 631-2800

2840 Morris Ave
Union, NJ 07083
Phone (908) 588-9860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1760841688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NEW PROVIDENCE RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NEW PROVIDENCE RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922590",
            "telephone_number": "908-301-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077127272",
            "country_code": "US",
            "telephone_number": "732-531-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIAIMO",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "APN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00609300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.