Judith C Gellrick, M.D., P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA028950 Issued in NJ

Legal business name

JUDITH C GELLRICK, M.D., P.A.

Practice address

77 Prospect Ave
Hackensack, NJ 07601-1913

Phone

(201) 342-5555

Fax

(201) 343-3389

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Judith Carol Gellrick, M.D.

Title

President

Phone

(201) 342-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1093039612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011913",
            "telephone_number": "201-342-5555",
            "fax_number": "201-343-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011913",
            "telephone_number": "201-342-5555",
            "fax_number": "201-343-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH C GELLRICK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "GELLRICK",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-342-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA028950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2994003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JSB Wellness LLC
• Judah Dubin DDS LLC
• Sherrice Judd
• Amanda Marie Judge, DNP, CNM
• Christine Judge
• Alan Jue, D.M.D
• Christina Ortiz Juguilon, LCSW
• Edward Jung
• Erick Sangwun Jung, DDS
• Seung Won Jung, DDS

• Nephrology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.