Active NPIIndividual providerSole proprietor

Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC

Nurse Practitioner, Family in Glen Ridge, New Jersey

NPI Number1215117247
Practice location
200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521
Fax
—
Last updated
April 16, 2025

Jill Melinda Magioncalda is a Nurse Practitioner, Family based in Glen Ridge, NJ. Jill Melinda Magioncalda practices in Glen Ridge, NJ and has the professional credentials of MSN, APRN, FNP- BC. The NPI Number for Jill Melinda Magioncalda is 1215117247 and holds a License No. 3348033 (WI). The current practice location address for Jill Melinda Magioncalda is 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521 and can be reached out via phone at 973-559-0081.

Provider Profile Details

NPI Number
1215117247
Provider Name
Jill Melinda Magioncalda
Credential
MSN, APRN, FNP- BC
Provider Entity Type
Individual
Gender
Female
Address
200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521
Phone Number
973-559-0081
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2007
Last Update Date
April 16, 2025
Certification Date
April 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521
Zip
07028-1521
Phone Number
973-559-0081
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
600 W Las Olas Blvd Apt 1503S
Fort Lauderdale, FL 33312-7164
City
Fort Lauderdale
State
FL
Zip
33312-7164
Phone Number
203-979-2537

License Information

License Number (1)
3348033
License State (1)
WI
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
F4009
License State (2)
SC
Taxonomy (2)
Advanced Practice Midwife · 367A00000X
License Number (3)
26NJ00792200
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (4)
149123030
License State (4)
WI
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X
License Number (5)
004877
License State (5)
CT
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
4009
License State (6)
SC
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
337794
License State (7)
NY
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC?

The NPI number of Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC is 1215117247. It was assigned on November 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC?

Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in WI under license number 3348033.

Where does Mrs. Jill M Magioncalda, MSN, APRN, FNP- BC practice?

The practice location is 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521. The office can be reached at 973-559-0081 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215117247 directly on the NPPES registry website.

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