Joanna Jacinto

Nurse Anesthetist, Certified Registered in Newark, NJ. Individual provider (NPI-1).

NPI number1104656289

StatusActive

Last updated in NPPESAug 5, 2024

Details

NPI: 1104656289
Entity type: Individual (NPI-1)
Name: Joanna Jacinto
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 5, 2024
Certification date: Aug 5, 2024
Last updated: Aug 5, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Can order and refer: Part B Yes · DME No · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
367500000X	Nurse Anesthetist, Certified Registered	26NJ15107500	NJ	Yes

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Phone 973-926-7000

Mailing address

464 Central Ave Apt B3
Jersey City, NJ 07307-2730

Is something wrong?

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Other Certified Registered Nurse Anesthetist providers in Newark, NJ

All 51 Certified Registered Nurse Anesthetist providers in Newark · All 6,584 providers in Newark

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