Individual provider Active NPI

George F Gushue, DO

  • Pulmonary Disease Physician
  • Trenton, NJ
National Provider Identifier
1093761678
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB03977400 Issued in NJ
Practice address
1542 Kuser Rd
Suite B7
Trenton, NJ 08619-3829
Phone
(609) 581-1400
Fax
(609) 585-5234
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MB03977400 NJ Primary

Addresses

Primary practice location

1542 Kuser Rd
Suite B7
Trenton, NJ 08619-3829

Mailing address

1542 Kuser Rd
Suite B7
Trenton, NJ 08619-3829
Phone (609) 581-1400

Other identifiers 1

IdentifierTypeStateIssuer
2315904MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB03977400NJMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1093761678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KUSER RD",
            "address_2": "SUITE B7",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193829",
            "telephone_number": "609-581-1400",
            "fax_number": "609-585-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KUSER RD",
            "address_2": "SUITE B7",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193829",
            "telephone_number": "609-581-1400",
            "fax_number": "609-585-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHUE",
        "first_name": "GEORGE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB03977400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2315904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.