Gretchen B. Fahrenbruch, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MA52823 Issued in NJ

Practice address

54 Montgomery St
Princeton JCT, NJ 08550-1335

Phone

(609) 799-1814

Fax

(609) 799-2574

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1396954145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MONTGOMERY ST",
            "city": "PRINCETON JCT",
            "state": "NJ",
            "postal_code": "085501335",
            "telephone_number": "609-799-1814",
            "fax_number": "609-799-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MONTGOMERY ST",
            "city": "PRINCETON JCT",
            "state": "NJ",
            "postal_code": "085501335",
            "telephone_number": "609-799-1814",
            "fax_number": "609-799-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRENBRUCH",
        "first_name": "GRETCHEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05282300",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA52823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Bernardo, M.A, LPC
• Steven Broderson, RPH
• Daniel Cimafranca M.D.,P.C.
• Jacqueline Farnese, PSY.D.
• Sophia Fishbane
• Jamie Robin Gordon-Karp, PSY.D.
• Hce Northeast LLC
• Biji Joseph, PHARM.D

• Geriatric Medicine (Family Medicine) Physician in Princeton JCT, NJ
• Providers in Princeton JCT, NJ by specialty
• Geriatric Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.