Active NPI
Gerard Matthew Tully, LMFT
- Marriage & Family Therapist
- Totowa, NJ
National Provider Identifier
1497892848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37F100105800
- Practice address
- 15 Furler St
Totowa, NJ 07512-1844 - Phone
- (973) 890-9180
- Fax
- (973) 890-9078
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37F100105800 | NJ | Primary |
Addresses
Primary practice location
15 Furler St
Totowa, NJ 07512-1844
Mailing address
38-46 Wilson St
Fair Lawn, NJ 07410-4906
Phone (201) 796-0195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37F100105800 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497892848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38-46 WILSON ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074104906",
"telephone_number": "201-796-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FURLER ST",
"city": "TOTOWA",
"state": "NJ",
"postal_code": "075121844",
"telephone_number": "973-890-9180",
"fax_number": "973-890-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLY",
"first_name": "GERARD",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37F100105800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Totowa, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.