Active NPI
Mary Catherine Gambarony
- Art Therapist
- Red Bank, NJ
National Provider Identifier
1669074720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 37PT00000500
- Practice address
- 103 Maple Ave Ste 206
Red Bank, NJ 07701-1715 - Phone
- (732) 600-8921
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 37PT00000500 | NJ | Primary |
Addresses
Primary practice location
103 Maple Ave Ste 206
Red Bank, NJ 07701-1715
Mailing address
1607 Glendola Rd
Wall Township, NJ 07719-4552
Phone (732) 600-8921
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 |
|---|---|---|---|
| 37PT00000500 | NJ | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1669074720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 GLENDOLA RD",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077194552",
"telephone_number": "732-600-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAPLE AVE STE 206",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011715",
"telephone_number": "732-600-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBARONY",
"first_name": "MARY",
"middle_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NJ",
"license": "37PT00000500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.