Gerald J Durivage, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015225 Issued in PA

Practice address

6 Collier Dr
Blackwood, NJ 08012-2983

Phone

(610) 908-9811

NPI assigned

Sep 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gdurivage102091@direct.optum.com
• Direct secure messaging: geralddurivage@nncc.allscriptsdirect.net

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.

• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment Care Compare group NPD
• Robert J Maro MD PA

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1952342743
  Medicare reassignment NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1881779866
  Medicare reassignment NPD
• Act on Total Health Medical Group, LLC

  • Family Medicine Physician
  • Northfield, NJ
  • NPI 1952992455

  Nurse Practitioner

  NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1467776989
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)
• Evercare Hospice, Inc.

  • Community Based Hospice Care Agency
  • King of Prussia, PA
  • NPI 1497011571
  NPD (past)
• Lansdale Hospital Corporation

  • Registered Dietitian
  • Lansdale, PA
  • NPI 1922462670
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1023486644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLLIER DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122983",
            "telephone_number": "610-908-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLLIER DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122983",
            "telephone_number": "610-908-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIVAGE",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh C Doshi, MD
• Dr. Mike'S Chiropractic LLC
• Dream Medical Transportation LLC
• Cynthia Dupre
• Durand, Inc.
• Eckerd Corporation
• Haydi Edward, DC
• Khalil Elliott, MBA, MSW, LSW
• Elmwood Hills Healthcare Center LLC
• Elmwood Hills Healthcare Center LLC

• Family Nurse Practitioner in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.