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Gifty Jose

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1945 State Route 33 Fl 4, Neptune, NJ 07753-4859

PECOS Enrollment

Based on the most recent information from CMS, provider Gifty Jose is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1790489037
Provider Type
Individual
Full Name
Jose, Gifty
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2023
Last Updated
8/19/2025

Contact Information

Practice Location

1945 State Route 33 Fl 4, Neptune, NJ 07753-4859

(732) 776-4949

(732) 776-4509

Mailing Location

9871 W Harmony Ln, Peoria, AZ 85382-8386

(623) 271-5469

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00773700 New Jersey
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00773700 New Jersey
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00773700 New Jersey

Gifty Jose

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Ciskowski, Michael J

Mcguire, Caitlin Mary

Lezzo, Nicholas J

Summerlott, Mary Elizabeth

Caudill, Cheryl E

Digiorgio, Tiffany Marie

Shahbaz, Hunter Lynn

Pullara, Sarah Marie

Ramos, Francisco

Chaballa, Brian