Jessica M Androsiglio, APN
Individual provider Active NPI Women's Health Nurse Practitioner · Hackensack, NJ
NPI 1831642024 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1831642024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 26NJ00653000 (NJ)
- Practice address
- 20 Prospect Ave
Hackensack, NJ 07601-1997 - Phone
- (201) 880-4949
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifeline Medical Associates LLC
Practice addresses (Care Compare)
1 W Ridgewood Ave
209 Thomas Golin MD
Paramus, NJ 07652-2356
Phone (201) 444-5744
16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935
16 Pocono Rd
Denville, NJ 07834-2905
16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695
2 Sears Dr Unit
104 Comprehensive Womens Care of Paramus
Paramus, NJ 07652-3525
Phone (201) 262-0075
Hospital & facility affiliations
- Hackensack University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190829003687 | NJ | Practitioner - Nurse Practitioner | 6901134840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00653000 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Current |
Accepting new patients | |
| Maria R Keanchong MD PA | Past |
Accepting new patients |
Locations
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
20 Prospect Ave
Ste 705
Hackensack, NJ 07601
Phone (201) 488-0409
99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763
Interoperability endpoints
- jessica.androsiglio.1@27010.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00653000 | NJ | Yes |
Addresses
Primary practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Mailing address
504 Bloomfield St
Hoboken, NJ 07030-4911
Phone (973) 489-7702
Other providers in Hackensack, NJ
- Anderson Dental Center Hackensack LLC
- Diane Michelle Anderson
- Marques Anderson
- Andrew Fink M.D., P.C.
- Andrew H the, MD, LLC
- Andrea N Anfuso Sisto
- Hanuman Kumar Angajala
- Angel Care
- Angel Touch Private Caregiver LLC
- Courtney Angeles
All providers in Hackensack, NJ · Women's Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.