Individual provider Active NPI

Gayle M Pistilli, NP

  • Gerontology Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1356977409
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01025900 Issued in NJ
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

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601001057 NJ Practitioner - Nurse Practitioner 2961880026 Reassigns benefits to 2 organizations

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
Jersey Shore Geriatrics IncGroup PAC ID 5597910133, 10 clinicians
Care Alternatives IncGroup PAC ID 0345158127, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Care Alternatives, Inc. CurrentSince Dec 19, 2023 Accepting new patients
Jersey Shore Geriatrics Inc CurrentSince Jun 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.