Individual provider Active NPI

Andrea Gaskin, FNP

  • Family Nurse Practitioner
  • Union, NJ
National Provider Identifier
1396450771
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01422900 Issued in NJ
Practice address
2333 Morris Ave Ste A115
Union, NJ 07083-5755
Phone
(908) 206-0606
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016001077 NJ Practitioner - Nurse Practitioner 0446782478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Care, PC PastSince Jan 22, 2023 Accepting new patients
Union Middlesex Orthopedics PC PastSince Jan 22, 2023 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.

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

Verify at the official NPI Registry.