Individual provider Active NPI

Gina F Lamandre, PA-C

  • Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1659537389
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00200600 Issued in NJ
Practice address
1 Robert Wood Johnson PL
Meb 104
New Brunswick, NJ 08901-1928
Phone
(732) 235-8717
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00200600 NJ Primary

Addresses

Primary practice location

1 Robert Wood Johnson PL
Meb 104
New Brunswick, NJ 08901-1928

Mailing address

181 Bennington Rd
Freehold, NJ 07728-4417
Phone (443) 864-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240510001236 NY Practitioner - Physician Assistant 6305980822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians

Practice addresses (Care Compare)

2960 Victory Blvd
Staten Island, NY 10314-6605
Phone (718) 370-2014

3430 Sunrise Hwy
Wantagh, NY 11793-4069
Phone (516) 900-1600

3894 Richmond Ave
Staten Island, NY 10312-5111
Phone (347) 630-7985

7001 Amboy Rd
Staten Island, NY 10307-1444
Phone (347) 838-6991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017852NYMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: gina.lamandre@direct.meditouchehr.com

Organizations & group practices 1

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1659537389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BENNINGTON RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284417",
            "telephone_number": "443-864-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "address_2": "MEB 104",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-235-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANDRE",
        "first_name": "GINA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00200600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.