Ernst C Gauderer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07179000 Issued in NJ

Practice address

555 North Ave
Apt. 25 S.
Fort Lee, NJ 07024-2404

Phone

(201) 600-0246

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Acm Therapy LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Wyckoff, NJ
  • NPI 1659045896
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1093760662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NORTH AVE.",
            "address_2": "APT. 26 S.",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242422",
            "telephone_number": "201-600-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NORTH AVE",
            "address_2": "APT. 25 S.",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242404",
            "telephone_number": "201-600-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDERER",
        "first_name": "ERNST",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07179000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youran Gao, M.D.
• Garam Holistic Inc
• Garden State Medical and Surgical Group, LLC
• Garden State Rehabilitation Services ,LLC.
• Leora Garritano, LMSW
• Ge Health Solutions Inc
• Gary Gecht, RPH
• Roberta Diane Geisenheimer, P.T.
• Gene Medical Group, LLC
• Karin Gepp, PSY.D.

• Psychiatry Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.