=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750294898
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY C GIACOMINI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 E NORTHFIELD RD STE 3B
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07039-4800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-436-1776
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 FREEMAN ST
-----------------------------------------------------
City | ROSELAND
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07068-1337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-960-3839
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LG0600X
-----------------------------------------------------
Taxonomy Name | Gerontology Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ15581000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------