Active NPI
Melissa Gaydos, NP-C
- Adult Health Nurse Practitioner
- Basking Ridge, NJ
National Provider Identifier
1154665743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00402900
- Practice address
- 131 Morristown Rd
Basking Ridge, NJ 07920-1654 - Phone
- (973) 527-1907
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00402900 | NJ | Primary |
Addresses
Primary practice location
131 Morristown Rd
Basking Ridge, NJ 07920-1654
Mailing address
131 Morristown Rd
Basking Ridge, NJ 07920-1654
Phone (973) 527-1907
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Medical Health Professional Corporation | Current | Accepting new patients | |
| Eraibe & Eraiba Internal Medicine | Past | Accepting new patients |
Locations
510 Hamburg Tpke
Ste 208
Wayne, NJ 07470
Phone (973) 904-3480
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1497118590
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1366675357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1154665743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MORRISTOWN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201654",
"telephone_number": "973-527-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MORRISTOWN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201654",
"telephone_number": "973-527-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDOS",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00402900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.