Active NPI
Gayle M Pistilli, NP
- Gerontology Nurse Practitioner
- Old Bridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01025900
- Practice address
- 271 Cindy St
Old Bridge, NJ 08857-3060 - Phone
- (732) 710-5538
- Fax
- (732) 313-6466
- NPI assigned
- Mar 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01025900 | NJ | Primary |
Addresses
Primary practice location
271 Cindy St
Old Bridge, NJ 08857-3060
Mailing address
271 Cindy St
Old Bridge, NJ 08857-3060
Phone (732) 710-5538
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 School Rd E
Suite 2
Marlboro, NJ 07746-2061
Phone (732) 866-9922
65 Jackson Dr
Suite 103
Cranford, NJ 07016-3516
Phone (908) 931-9068
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Alternatives, Inc. | Current | Accepting new patients | |
| Jersey Shore Geriatrics Inc | Current | Accepting new patients | |
| Jersey Shore Geriatrics LLC | Past | Accepting new patients |
Locations
65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068
100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046
15 School Rd E
Ste 2
Marlboro, NJ 07746
Phone (732) 866-9922
15 School Rd E
Marlboro, NJ 07746
Phone (732) 625-2244
Interoperability endpoints
- ms_gpistill@landmarkhealth-direct.org
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Cranford, NJ
- NPI 1861454886
-
- Geriatric Medicine (Internal Medicine) Physician
- Marlboro, NJ
- NPI 1588908784
-
- Geriatric Medicine (Internal Medicine) Physician
- Marlboro, NJ
- NPI 1366571036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1356977409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CINDY ST",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573060",
"telephone_number": "732-710-5538",
"fax_number": "732-313-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 CINDY ST",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573060",
"telephone_number": "732-710-5538",
"fax_number": "732-313-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTILLI",
"first_name": "GAYLE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01025900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.