Gertrude Patricia San Jose

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

580132 Issued in NJ

Practice address

570 Route 70
Brick, NJ 08723-4014

Phone

(732) 242-7411

Fax

(732) 746-4421

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1689064818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 DOGWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235983",
            "telephone_number": "732-701-3184",
            "fax_number": "732-746-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234014",
            "telephone_number": "732-242-7411",
            "fax_number": "732-746-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JOSE",
        "first_name": "GERTRUDE",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NJ",
            "license": "580132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Salvatore
• Victor J Salvo, MD
• Ayesha Samad, MD
• Marina N Samuel, RPH
• Saju Samuel, MD
• Shirley Elvira Sanchez, MS, LAC, NCC
• Rashmi Sandeep, MD
• Leonard L Sandler, M.D.
• Jennifer Sands, RPH
• Swathi Sanghi

• Basic Emergency Medical Technician in Brick, NJ
• Providers in Brick, NJ by specialty
• Basic Emergency Medical Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.