Healthcare Provider Details

I. General information

NPI: 1093042145
Provider Name (Legal Business Name): GABRIELLA GADALETA MAGARELLI RN, ACNP-BC, OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 2ND ST
HACKENSACK NJ
07601-2105
US

IV. Provider business mailing address

142 GRAND BLVD
EMERSON NJ
07630-1743
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-5900
  • Fax:
Mailing address:
  • Phone: 201-262-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF430499
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00290000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: