Individual provider Active NPI

Willa Sheryl Gartenhaus, M.D.

  • Hematology & Oncology Physician
  • Marlboro, NJ
National Provider Identifier
1134216039
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
121175 Issued in NY
Practice address
209 Bradwick Way
Marlboro, NJ 07746-2472
Phone
(732) 834-0095
Fax
(208) 978-4319
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 121175 NY Primary

Addresses

Primary practice location

209 Bradwick Way
Marlboro, NJ 07746-2472

Mailing address

209 Bradwick Way
Marlboro, NJ 07746-2472
Phone (732) 834-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000949 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6901195106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121175NYMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1134216039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BRADWICK WAY",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462472",
            "telephone_number": "732-834-0095",
            "fax_number": "208-978-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BRADWICK WAY",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462472",
            "telephone_number": "732-834-0095",
            "fax_number": "208-978-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTENHAUS",
        "first_name": "WILLA",
        "middle_name": "SHERYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "121175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.