Individual provider Active NPI

Rochelle Guglielmo, RN

  • Gerontology Registered Nurse
  • Lawrenceville, NJ
National Provider Identifier
1821769654
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
26NO11487800 Issued in NJ
Practice address
101 Eggerts Crossing Rd
Lawrenceville, NJ 08648-2805
Phone
(609) 530-6967
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 26NO11487800 NJ Primary

Addresses

Primary practice location

101 Eggerts Crossing Rd
Lawrenceville, NJ 08648-2805

Mailing address

3 Park Ave
Cream Ridge, NJ 08514-2435
Phone (609) 668-8146

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO11487800NJMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1821769654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARK AVE",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142435",
            "telephone_number": "609-668-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EGGERTS CROSSING RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482805",
            "telephone_number": "609-530-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIELMO",
        "first_name": "ROCHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NO11487800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.