Individual provider Active NPI

Denise Gorham

  • Primary Care Nurse Practitioner
  • Berkeley Heights, NJ
National Provider Identifier
1457048027
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01434500 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(908) 273-4300
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01434500 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ01434500 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231017000558 NJ Practitioner - Nurse Practitioner 8325493943 Reassigns benefits to 5 organizations
I20240917003944 NY Practitioner - Nurse Practitioner 8325493943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians
Browne Medical LLCGroup PAC ID 9032347281, 19 clinicians

Practice addresses (Care Compare)

561 US Hwy 1 S Unit E3/E4
Immediate Care Medical Walk in
Edison, NJ 08817-4400
Phone (732) 933-0950

907 Oak Tree Ave
Suite H
South Plainfield, NJ 07080-5131
Phone (908) 222-3500

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuveinate LLC CurrentSince Jul 15, 2024 Accepting new patients
Browne Medical, LLC CurrentSince Nov 1, 2025 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Aug 30, 2024 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Aug 30, 2024 Accepting new patients
Mission Medical Care PC Family CurrentSince Jul 15, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Unit E3E4
Edison, NJ 08817
Phone (732) 933-0950

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

90 S Livingston Ave
Livingston, NJ 07039
Phone (973) 601-2626

127 Church Rd
Ste 600
Marlton, NJ 08053
Phone (856) 355-8582

49 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 246-7600

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

30 Broad St
Ste 401
New York, NY 10004
Phone (212) 987-0100

265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1457048027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01434500",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01434500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.