Active NPI
Mary Ann Gosselin
- Funeral Director
- Edison, NJ
National Provider Identifier
1699580035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- License
- JP00338600
- Practice address
- 660 New Dover Rd
Edison, NJ 08820-1999 - Phone
- (732) 381-5858
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Funeral Director | 176P00000X | JP00338600 | NJ | Primary |
Addresses
Primary practice location
660 New Dover Rd
Edison, NJ 08820-1999
Mailing address
660 New Dover Rd
Edison, NJ 08820-1999
Phone (732) 381-5858
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 |
|---|---|---|---|
| JP00338600 | NJ | MD | Funeral Director |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1699580035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 NEW DOVER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201999",
"telephone_number": "732-381-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 NEW DOVER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201999",
"telephone_number": "732-381-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSELIN",
"first_name": "MARY ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "NJ",
"license": "JP00338600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.