Lauren Gibbs, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00496100 Issued in NJ

Practice address

401 Young Ave Ste 245
Moorestown, NJ 08057

Phone

(609) 267-9400

Fax

(609) 267-9457

NPI assigned

Nov 22, 2013

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Lauren Picciano Former name

Medicare fee-for-service enrollment

Enrolled in PA, MD2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgibbs1093229@direct.umm.edu

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.

• Shock Trauma Associates, P.a.

  dba Shock Trauma Associates

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  Medicare reassignment Care Compare group
• Union Hospital of Cecil County

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1124067848
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment
• Union Hospital of Cecil County, Inc.

  dba Union Oncology

  • Hematology & Oncology Physician
  • Elkton, MD
  • NPI 1083465876
  NPD
• University of Penn - Medical Group

  • Clinical Genetics (M.D.) Physician
  • Philadelphia, PA
  • NPI 1184430258
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Bright Path Center, Inc.

  dba Bright Path Counseling Center

  • Social Worker
  • North Syracuse, NY
  • NPI 1316046113

  Addiction (Substance Use Disorder)

  NPD (past)
• Delconte Counseling LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • N Syracuse, NY
  • NPI 1427810787
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Maryland Medical Center, LLC

  dba University of Maryland Medical Center

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1841620127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EVES DR STE A100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533126",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 245",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7266 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132122649",
            "country_code": "US",
            "telephone_number": "315-458-0919",
            "fax_number": "315-458-0954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0008010",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00496100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "089305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PICCIANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deserie Gherardi, P.T.
• Gurbir S Ghuman, DMD
• Gianna Santoro LCSW
• John Domenic Giardino Jr., MD
• Cecelia Gibbs
• Colin Gibson, PT, DPT
• Jessica Gilbert
• Eileen Gillen, PH.D.
• Kayla Marie Gillespie, OTR/L
• Stephen W Gionta, MOT, OTR/L

• Surgical Physician Assistant in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.