Individual provider Active NPI

Gladys Forster, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountain Lakes, NJ
National Provider Identifier
1497245385
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15207400 Issued in NJ
Practice address
115 Route 46 BLDG F
Mountain Lakes, NJ 07046-1668
Phone
(862) 276-0338
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15207400 NJ Primary

Addresses

Primary practice location

115 Route 46 BLDG F
Mountain Lakes, NJ 07046-1668

Mailing address

115 Route 46 W BLDG F
Mountain Lakes, NJ 07046-1668
Phone (862) 254-2211

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
I20250825000781 NJ Practitioner - Nurse Practitioner 9335649318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordial Health PCGroup PAC ID 9537512512, 2 clinicians

Practice addresses (Care Compare)

661 E Palisade Ave
Suite A4
Englewood Cliffs, NJ 07632-1800
Phone (347) 667-7924

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cordial Health PC CurrentSince Sep 13, 2025 Accepting new patients
Seventh Angel Health and Mental Services LLC Psychiatric/Mental Health CurrentSince Apr 3, 2025 Accepting new patients

Locations

661 E Palisade Ave
Ste A4
Englewood Cliffs, NJ 07632
Phone (201) 408-4777

115 US Highway 46 W
Bldg F
Mountain Lakes, NJ 07046
Phone (862) 254-2211

831 Bedford Ave
Brooklyn, NY 11205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1497245385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROUTE 46 W BLDG F",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "862-254-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROUTE 46 BLDG F",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461668",
            "telephone_number": "862-276-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "GLADYS",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15207400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.