Active NPI
Nancy J Gilliam, APN BC
- Nurse Practitioner
- Phillipsburg, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00077700
- Practice address
- 755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865 - Phone
- (908) 847-0514
- Fax
- (866) 747-3167
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00077700 | NJ | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ00077700 | NJ |
Addresses
Primary practice location
755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865
Mailing address
755 Memorial Pkwy Ste 106
Phillipsburg, NJ 08865-2774
Phone (908) 847-0514
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058432 | Medicaid | NJ | |
| 223733353 | Other | NJ | HORIZON |
| 2318736 | Other | NJ | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212
279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546
755 Memorial Pkwy
Phillipsburg, NJ 08865-2748
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Hunterdon Medical Center | Current | Accepting new patients | |
| St. Luke'S Warren Physician Group, PC | Current | Accepting new patients | |
| Hunterdon Medical Center | Current | Accepting new patients | |
| Hunterdon Urgent Care PC | Current | Accepting new patients | |
| Hunterdon Medical Center | Past | Accepting new patients |
Locations
63 Church St
Flemington, NJ 08822
Phone (908) 237-4036
1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471
3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627
755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
410 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 454-6303
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
-
- Cardiovascular Disease Physician
- Flemington, NJ
- NPI 1841560158
-
- Urgent Care Clinic/Center
- Flemington, NJ
- NPI 1154791796
-
- Nephrology Physician
- Flemington, NJ
- NPI 1396561577
-
- Cardiovascular Disease Physician
- Phillipsburg, NJ
- NPI 1285061630
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
-
- Geriatric Medicine (Internal Medicine) Physician
- Flemington, NJ
- NPI 1710049499
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phillipsburg, NJ
- NPI 1760488266
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Easton, PA
- NPI 1073047981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1245278464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 MEMORIAL PKWY STE 106",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652774",
"telephone_number": "908-847-0514",
"fax_number": "866-747-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MEMORIAL PKWY STE 106",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "08865",
"telephone_number": "908-847-0514",
"fax_number": "866-747-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "APN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00077700",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00077700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058432",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "223733353",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2318736",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.