Domenica Ann Giustino, FNP
Nurse Practitioner in Freehold, NJ. Individual provider (NPI-1).
NPI number1124716634
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1124716634
- Entity type
- Individual (NPI-1)
- Name
- Ms. Domenica Ann Giustino
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Apr 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · 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 |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01473300 | NJ | Yes |
| 363L00000X | Nurse Practitioner | 26NJ01234567 | NJ |
Practice location
901 W Main StFreehold, NJ 07728-2537
Phone 732-294-2666 · Fax 732-431-8267
Mailing address
Po Box 7200Freehold, NJ 07728-7200
Phone 732-294-2666 · Fax 732-431-8267
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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