Individual provider Active NPI

Geralyn M Gedaka, APN

  • Adult Health Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1013221050
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00294700 Issued in NJ
Practice address
994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone
(609) 383-0200
Fax
(631) 534-7246
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00294700 NJ Primary

Addresses

Primary practice location

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937

Mailing address

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone (631) 534-7246

Other identifiers 2

IdentifierTypeStateIssuer
26NJ00294700OtherNJDIVISION OF CONSUMER AFFAIRS
26NO11108000OtherNJDIVISION OF CONSUMER AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000800 NJ Practitioner - Nurse Practitioner 0143419374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

649 Shore Rd
Somers Point, NJ 08244-2449
Phone (609) 365-6239

994 W Sherman Ave
Vineland, NJ 08360-6937

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Shore Specialty Consultants CurrentSince Jan 5, 2026 Accepting new patients
Regional Nephrology Associates, P.a. CurrentSince Aug 1, 2018 Accepting new patients
Pulse Vascular, LLC CurrentSince May 12, 2025 Accepting new patients

Locations

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: geralyn.gedaka.1@4024.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1013221050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "631-534-7246",
            "fax_number": "856-457-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "609-383-0200",
            "fax_number": "631-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDAKA",
        "first_name": "GERALYN",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00294700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF CONSUMER AFFAIRS",
            "identifier": "26NJ00294700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF CONSUMER AFFAIRS",
            "identifier": "26NO11108000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.