Active NPI
Gabrielle Patrice Hutcheson, DPM
- Podiatrist
- Wayne, NJ
National Provider Identifier
1154985489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00371400
- Practice address
- 510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033 - Phone
- (973) 925-4111
- NPI assigned
- Apr 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00371400 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Mailing address
510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Phone (973) 925-4111
Other practice location 1
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7332
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Center of New Jersey, LLC | Podiatrist | Current | Accepting new patients |
Locations
510 Hamburg Tpke
Ste 108
Wayne, NJ 07470
Phone (718) 431-4979
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": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1154985489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HAMBURG TPKE STE 108",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702033",
"telephone_number": "973-925-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HAMBURG TPKE STE 108",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702033",
"telephone_number": "973-925-4111"
}
],
"practiceLocations": [
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-963-7332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHESON",
"first_name": "GABRIELLE",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00371400",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.