Active NPI
Gerda Hartl, M.D.
- Child & Adolescent Psychiatry Physician
- Fort Lee, NJ
National Provider Identifier
1235391848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA02530500
- Practice address
- 4 Horizon Rd.
Apt. G-05
Fort Lee, NJ 07024-6716 - Phone
- (201) 224-0776
- Fax
- (201) 224-0776
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA02530500 | NJ | Primary |
| Psychiatry Physician | 2084P0800X | 25MA02530500 | NJ |
Addresses
Primary practice location
4 Horizon Rd.
Apt. G-05
Fort Lee, NJ 07024-6716
Mailing address
4 Horizon Rd.
Apt. G-05
Fort Lee, NJ 07024-6716
Phone (201) 224-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6256309 | Medicaid | NJ |
Other names 1
- Gerda Hartl Strika
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02530500 | NJ | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1235391848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HORIZON RD.",
"address_2": "APT. G-05",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246716",
"telephone_number": "201-224-0776",
"fax_number": "201-224-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HORIZON RD.",
"address_2": "APT. G-05",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246716",
"telephone_number": "201-224-0776",
"fax_number": "201-224-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTL",
"first_name": "GERDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA02530500",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA02530500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6256309",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GERDA",
"last_name": "STRIKA",
"middle_name": "HARTL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.