Andrea Gaynor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05201200 Issued in NJ

Practice address

157 Shadybrook LN
Princeton, NJ 08540-4135

Phone

(609) 924-5087

Fax

(609) 921-1407

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Jewish Family & Children's Service of Greater Mercer County

  • Clinical Social Worker
  • Princeton, NJ
  • NPI 1629018791
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1427076801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SHADYBROOK LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404135",
            "telephone_number": "609-924-5087",
            "fax_number": "609-430-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SHADYBROOK LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404135",
            "telephone_number": "609-924-5087",
            "fax_number": "609-921-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYNOR",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05201200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pia Maria Garibaldi
• Elyse Gail Garlick, PHD
• Nicole Garmer, M.ED, BCBA
• Veronica Elizabeth Garnett, MS, RD
• Alexandra Gaudio, PA-C
• Raina Gazurian, MD
• Steven R. Gecha, M.D.
• Jonathan Geller, PHD
• Marvin H. Geller, MARVIN GELLER
• Allison Register Gelsomino, M.ED, LAC, NCC

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.