Cheryl A Gow, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R26NJ01080900 Issued in NJ

Practice address

20 Willoughby LN
Southampton, NJ 08088-3526

Phone

(609) 227-7981

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Longevity Clinical LTC Associates of New Jersey

  • Primary Care Nurse Practitioner
  • Lakewood, NJ
  • NPI 1376114322

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1699361840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLOUGHBY LN",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883526",
            "telephone_number": "609-227-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLOUGHBY LN",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080883526",
            "telephone_number": "609-227-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOW",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "R26NJ01080900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Dixon, ED.D., BCBA
• Catherine A Ensana, M.A.
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• Fayez Mikhail, LLC
• Casey Ray Gillick, DPT
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• Trisha Hartman, RPH
• Raymond Heaton
• Erin Hertrich
• Hometown Pharmacy LLC

• Family Nurse Practitioner in Southampton, NJ
• Providers in Southampton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.