Individual provider Active NPI

Jeffrey Gilmore

  • Counselor
  • Flemington, NJ
National Provider Identifier
1104598887
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00432000 Issued in NJ
Practice address
6 Park Ave
Flemington, NJ 08822-1319
Phone
(908) 310-1524
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 37AC00432000 NJ Primary

Addresses

Primary practice location

6 Park Ave
Flemington, NJ 08822-1319

Mailing address

6 Park Ave
Flemington, NJ 08822-1319

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240518000469 NJ Practitioner - Mental Health Counselor 4587001276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians

Practice addresses (Care Compare)

6 Park Ave
Flemington, NJ 08822-1319
Phone (908) 782-7905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00432000NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Diocese of Metuchen Multi-Specialty CurrentSince Apr 9, 2024 Accepting new patients
Catholic Charities, Diocese of Metuchen Multi-Specialty CurrentSince Apr 9, 2024 Accepting new patients
Catholic Charities, Diocese of Metuchen Multi-Specialty Current Accepting new patients

Locations

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1104598887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319",
            "telephone_number": "908-310-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00432000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.