Gina Dehmer

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR12676700 Issued in NJ

Practice address

1722 Newman St
Lake Como, NJ 07719-3065

Phone

(973) 271-7871

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1356748446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 NEWMAN ST",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 NEWMAN ST",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077193065",
            "telephone_number": "973-271-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHMER",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12676700",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NJ",
            "license": "26NR12676700",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "679756-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Beer
• John Matthew Buckley, REGISTERED NURSE
• Jose Padua Cariaso, PT,DPT
• Vincent Cavaliere
• Joshua N Chu, PT, DPT
• Epic Medical Staffing, LLC
• Benjamin Fan, PT, DPT
• Justin Gardner, PT, DPT
• Genesis Integrative Medicine Longevity Center LLC
• Charlene L. Griffin, M.T.

• Registered Nurse in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.