Individual provider Active NPI

Gerald J. Washko, LMFT, LCADC

  • Marriage & Family Therapist
  • Woodbury, NJ
National Provider Identifier
1114173812
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100156600 Issued in NJ
Practice address
439 East Barber Avenue
Woodbury, NJ 08096-2832
Phone
(856) 845-6944
Fax
(856) 845-6944
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37F100156600 NJ Primary

Addresses

Primary practice location

439 East Barber Avenue
Woodbury, NJ 08096-2832

Mailing address

439 East Barber Avenue
Woodbury, NJ 08096-2832
Phone (856) 845-6944

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
I20240212002125 NJ Practitioner - Marriage and Family Therapist 1658714191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Psychological ServicesGroup PAC ID 1850347147, 5 clinicians

Practice addresses (Care Compare)

1790 Marlton Pike E
Cherry Hill, NJ 08003-2307
Phone (856) 424-4408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37F100156600NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Psychological Services Marriage & Family Therapist CurrentSince Feb 2, 2024 Accepting new patients

Locations

1790 Marlton Pike E
Cherry Hill, NJ 08003

108 Centre Blvd
Ste C
Marlton, NJ 08053

44 Cooper St
Ste 203
Woodbury, NJ 08096

Organizations & group practices 1

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1114173812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 EAST BARBER AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962832",
            "telephone_number": "856-845-6944",
            "fax_number": "856-845-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 EAST BARBER AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962832",
            "telephone_number": "856-845-6944",
            "fax_number": "856-845-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHKO",
        "first_name": "GERALD",
        "middle_name": "J.",
        "credential": "LMFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100156600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.