Individual provider Active NPI

Jennifer A Giamboi, MSN,RN,FNP,CLC

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1871908426
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F33894 Issued in NY
Practice address
1779 Richmond Ave
Staten Island, NY 10314
Phone
(718) 982-6800
Fax
(718) 982-6830
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

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)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F33894NYMDFamily Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F33894 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1779 Richmond Ave
Staten Island, NY 10314

Mailing address

467 Pelton Ave
Staten Island, NY 10310-2127
Phone (718) 984-5437

Other practice location 1

107 Edgegrove Ave
Staten Island, NY 10312-3332
Phone (718) 984-5437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2018.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1871908426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102127",
            "telephone_number": "718-984-5437",
            "fax_number": "718-984-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-982-6800",
            "fax_number": "718-982-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Edgegrove Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103123332",
            "country_code": "US",
            "telephone_number": "718-984-5437",
            "fax_number": "718-984-5488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIAMBOI",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN,RN,FNP,CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F33894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.