Individual provider Active NPI

Gina C Krementz

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1225813850
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14884900 Issued in NJ
Practice address
994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone
(631) 534-7246
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14948700 NJ
Nurse Practitioner 363L00000X 26NJ14884900 NJ Primary

Addresses

Primary practice location

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937

Mailing address

838 Central Ave
Franklinville, NJ 08322-2051
Phone (856) 373-6006

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111000646 NJ Practitioner - Nurse Practitioner 7113378498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians

Practice addresses (Care Compare)

54 Sharp St N
Millville, NJ 08332-2444
Phone (856) 327-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14948700NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jan 26, 2024 Accepting new patients
Pulse Vascular, LLC CurrentSince Dec 9, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 26, 2024 Accepting new patients
Physiatry Consultants of NJ LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

54 Sharp St N
Millville, NJ 08332
Phone (856) 327-2700

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

390 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-0200

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

785 W Sherman Ave
Vineland, NJ 08360

Organizations & group practices 4

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1225813850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 CENTRAL AVE",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222051",
            "telephone_number": "856-373-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "631-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMENTZ",
        "first_name": "GINA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14948700",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14884900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.