Active NPI
Andrea Gaskin, FNP
- Family Nurse Practitioner
- Union, NJ
National Provider Identifier
1396450771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01422900
- Practice address
- 2333 Morris Ave Ste A115
Union, NJ 07083-5755 - Phone
- (908) 206-0606
- NPI assigned
- Jan 19, 2023
- Last updated
- Jan 19, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01422900 | NJ | Primary |
Addresses
Primary practice location
2333 Morris Ave Ste A115
Union, NJ 07083-5755
Mailing address
1359 Stockton St
Rahway, NJ 07065-5508
Phone (732) 956-7755
Other practice location 1
41-51 Wilson Ave Ste 2-B
Newark, NJ 07105-3269
Phone (973) 589-8888
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016001077 | NJ | Practitioner - Nurse Practitioner | 0446782478 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma & Allergy Care, PC | Past | Accepting new patients | |
| Union Middlesex Orthopedics PC | Past | Accepting new patients |
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.
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- Union, NJ
- NPI 1003038050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1396450771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 STOCKTON ST",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070655508",
"telephone_number": "732-956-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 MORRIS AVE STE A115",
"city": "UNION",
"state": "NJ",
"postal_code": "070835755",
"telephone_number": "908-206-0606"
}
],
"practiceLocations": [
{
"address_1": "41-51 Wilson Ave Ste 2-B",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071053269",
"country_code": "US",
"telephone_number": "973-589-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASKIN",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01422900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.