Individual provider Active NPI

Christina Felicia Gargiulo

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1831800531
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351410 Issued in NY
Practice address
2079 Forest Ave
Staten Island, NY 10303-1865
Phone
(718) 815-6560
NPI assigned
Dec 13, 2022
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 723382 NY
Family Nurse Practitioner 363LF0000X 351410 NY Primary

Addresses

Primary practice location

2079 Forest Ave
Staten Island, NY 10303-1865

Mailing address

24 Mercury Ave
Colonia, NJ 07067-2512
Phone (347) 358-4165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230411002382 NY Practitioner - Nurse Practitioner 2062887755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2079 Forest Ave
Staten Island, NY 10303-1735
Phone (718) 815-6560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
723382NYMDRegistered Nurse
351410NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Christian Community Health Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Beacon Christian Community Health Center Inc CurrentSince May 1, 2023 Accepting new patients

Locations

2031 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

2079 Forest Ave
Staten Island, NY 10303
Phone (718) 815-6560

2079 Forest Ave
Unit 30729
Staten Island, NY 10303

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: christina.gargiulo.1@20119.direct.athenahealth.com

Organizations & group practices 2

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1831800531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MERCURY AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672512",
            "telephone_number": "347-358-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031865",
            "telephone_number": "718-815-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "CHRISTINA",
        "middle_name": "FELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "723382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.