Individual provider Active NPI

Monique Cecelia Gantier, PMHNP-BC, FNP-BC

  • Family Nurse Practitioner
  • Mountain Lakes, NJ
National Provider Identifier
1114219094
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00404700 Issued in NJ
Practice address
115 US Highway 46, BLDG F, Ste 1
Mountain Lakes, NJ 07046-1668
Phone
(347) 204-6090
Fax
(844) 718-0075
NPI assigned
May 10, 2011
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00404700 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00404700 NJ

Addresses

Primary practice location

115 US Highway 46, BLDG F, Ste 1
Mountain Lakes, NJ 07046-1668

Mailing address

115 US Highway, BLDG F, 46 Ste 1
Mountain Lakes, NJ 07046-1668
Phone (347) 204-6090

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180607000387 NJ Practitioner - Nurse Practitioner 3476816208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

206 Bergen Ave
Suite 207
Kearny, NJ 07032-3387
Phone (631) 534-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00404700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Pulse Vascular, LLC CurrentSince Oct 15, 2024 Accepting new patients
Pain and Disability Institute, P.C. CurrentSince Jan 23, 2019 Accepting new patients
Excel Mind & Body Healthcare LLC CurrentSince Nov 9, 2025 Accepting new patients
Revive Spine and Pain Center PastSince Feb 4, 2024 Accepting new patients

Locations

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 653-5044

206 Bergen Ave
Ste 207
Kearny, NJ 07032
Phone (631) 534-7246

115 US Highway 46
Bldg F
Mountain Lakes, NJ 07046
Phone (347) 204-6090

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1114219094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 US HIGHWAY, BLDG F, 46 STE 1",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "347-204-6090",
            "fax_number": "844-718-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 US HIGHWAY 46, BLDG F, STE 1",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "347-204-6090",
            "fax_number": "844-718-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTIER",
        "first_name": "MONIQUE",
        "middle_name": "CECELIA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00404700",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00404700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.