Active NPI
Gillian Mary McKie, APNC- NP
- Nurse Practitioner
- New Brunswick, NJ
National Provider Identifier
1376674861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00021100
- Practice address
- 1 Robert Wood Johnson Place
New Brunswick, NJ 08903 - Phone
- (732) 235-7840
- Fax
- (732) 235-7048
- NPI assigned
- Mar 8, 2007
- 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 | MA051658 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ00021100 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson Place
New Brunswick, NJ 08903
Mailing address
120 Albany Street
Tower 2, 7TH Floor
New Brunswick, NJ 08901-2126
Phone (732) 937-8537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA051658 | Other | NJ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051658 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storch Nutritional Medicine Associates,PA | Past | Accepting new patients | |
| Metabolic Care Associates P.a. | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Cedar Knolls, NJ
- NPI 1558978577
Nurse Practitioner
-
dba Advanced Metabolic & Functional Medicine Center
- Internal Medicine Physician
- Cedar Knolls, NJ
- NPI 1336295419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1376674861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ALBANY STREET",
"address_2": "TOWER 2, 7TH FLOOR",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012126",
"telephone_number": "732-937-8537",
"fax_number": "732-937-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PLACE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08903",
"telephone_number": "732-235-7840",
"fax_number": "732-235-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIE",
"first_name": "GILLIAN",
"middle_name": "MARY",
"credential": "APNC- NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "MA051658",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00021100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA051658",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.