Mary Susan Gill

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NC06872900 Issued in NJ

Practice address

830 Bear Tavern Rd
Ewing, NJ 08628-1020

Phone

(800) 370-3651

Fax

(860) 510-0020

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medop Behavioral Health Associates of New Jersey PC

  • Neurology Physician
  • Ewing, NJ
  • NPI 1982995569
  NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1528302874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WINDWARD AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087223941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BEAR TAVERN RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281020",
            "telephone_number": "800-370-3651",
            "fax_number": "860-510-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NC06872900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly M Gibson, LCADC, CSW
• Cassandra Crawford Gibson, PHD, LCSW, LCADC
• Jostina Gichana, APN
• Dayna Giel, MSED, LPC
• Kaiulani Giles
• Bianca Goodman
• Dylan Goodwin
• Evette Greene
• Nisherrah D Greene
• Greenwood House Healthcare and Homemaker Program Inc.

• Nurse Practitioner in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.