Anselma Gabudao, APN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00371000 Issued in NJ

Practice address

137 High St
Suite 2a
Mount Holly, NJ 08060-1420

Phone

(609) 447-3442

NPI assigned

Aug 20, 2014

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

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakehurst Professional Medical Group LLCGroup PAC ID 4082959424, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lakehurst Professional Medical Group LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1629553565
  Medicare reassignment Care Compare group NPD
• Vinod Sancheti Mdpa

  • Family Medicine Physician
  • Toms River, NJ
  • NPI 1891820304
  Medicare reassignment NPD

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1275932774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HIGH ST",
            "address_2": "SUITE 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601420",
            "telephone_number": "609-447-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIGH ST",
            "address_2": "SUITE 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601420",
            "telephone_number": "609-447-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABUDAO",
        "first_name": "ANSELMA",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00371000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ross Fred, MD
• Fusfield Podiatry Associates LLC
• Michael J. Fusfield, D.P.M.
• Avinash Gabbeta
• Julia Gabriel
• Perfecto Guinto Galido, DO
• Anna G Galindez, MSW, LSW, LCADC
• Richard F Gargiulo, MD
• Pamela A Gasiorowski, MSN, APN, C
• Angela M. Gatto-Rekant, D.D.S.

• Adult Health Nurse Practitioner in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.

Verify at the official NPI Registry.