Individual provider Active NPI

Maria Gerasimova, RN

  • Registered Nurse
  • Pompton Lakes, NJ
National Provider Identifier
1619814142
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR15450900 Issued in NJ
Practice address
400 Ramapo Ave FL 2
Pompton Lakes, NJ 07442-1825
Phone
(973) 858-8163
Fax
(862) 666-1074
NPI assigned
May 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 904278 NJ
Registered Nurse 163W00000X 26NR15450900 NJ Primary

Addresses

Primary practice location

400 Ramapo Ave FL 2
Pompton Lakes, NJ 07442-1825

Mailing address

100 Bay LN
Wayne, NJ 07470-2243
Phone (973) 699-2577

Other practice location 1

3610 Route 23
Unit D
Hamburg, NJ 07419
Phone (973) 858-8163

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15450900NJMDRegistered Nurse
904278NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bring Hope PastSince Nov 18, 2025 Accepting new patients
Bring Hope PastSince Dec 30, 2025 Accepting new patients

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": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1619814142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAY LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702243",
            "telephone_number": "973-699-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMAPO AVE FL 2",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421825",
            "telephone_number": "973-858-8163",
            "fax_number": "862-666-1074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Route 23",
            "address_2": "Unit D",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NJ",
            "postal_code": "07419",
            "country_code": "US",
            "telephone_number": "973-858-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERASIMOVA",
        "first_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "904278",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15450900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.