Individual provider Active NPI

Cindy Lee Gaskins, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Watchung, NJ
National Provider Identifier
1215173281
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00169000 Issued in NJ
Practice address
776 Mountain Blvd
Suite 106
Watchung, NJ 07069-6269
Phone
(908) 361-0353
Fax
(908) 279-7689
NPI assigned
Dec 22, 2008
Last updated
Jul 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00169000 NJ Primary

Addresses

Primary practice location

776 Mountain Blvd
Suite 106
Watchung, NJ 07069-6269

Mailing address

17 Wichser LN
Warren, NJ 07059-2618
Phone (908) 361-0353

Other names 1

  • Ms. Cindy Lee Feder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00169000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Psychiatric Centers, PA Past Accepting new patients

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, 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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1215173281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WICHSER LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592618",
            "telephone_number": "908-361-0353",
            "fax_number": "908-279-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 MOUNTAIN BLVD",
            "address_2": "SUITE 106",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696269",
            "telephone_number": "908-361-0353",
            "fax_number": "908-279-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "CINDY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00169000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "FEDER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.