MEDICARE: DR. JOSEPH GIACCIO DNP, CRNA, AGACNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	433462	NY
2	367500000X	Certified Registered Nurse Anesthetist	730764	NY
3	363LA2100X	Acute Care Nurse Practitioner	26NJ15455600	NJ

General Provider Information

NPI Number	:	1437040094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GIACCIO DNP, CRNA, AGACNP

Provider Business Mailing Address
First Line	:	201 RICHARD ST
Second Line	:
City	:	CRANFORD
State	:	NJ
Zip	:	07016-2520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 N MIDLAND AVE
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-1998
Country	:	US
Telephone Number	:	908-578-1866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	05/07/2026

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