Merica Gellermann Dermody, M.S., C.G.C.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

25MJ00000800 Issued in NJ

Practice address

69 1St Ave
Raritan, NJ 08869-1800

Phone

(800) 631-5250

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1194796995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 1ST AVE",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691800",
            "telephone_number": "800-631-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 1ST AVE",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691800",
            "telephone_number": "800-631-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMODY",
        "first_name": "MERICA",
        "middle_name": "GELLERMANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NJ",
            "license": "25MJ00000800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genetic Counselor (M.S.) in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Genetic Counselor (M.S.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.