Lucy Gorelli, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA05802300 Issued in NJ

Practice address

5645 Texas Ave
Fort Dix, NJ 08640-5402

Phone

(609) 562-6050

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1700276532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 TEXAS AVE",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "086405402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 TEXAS AVE",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "086405402",
            "telephone_number": "609-562-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELLI",
        "first_name": "LUCY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA05802300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Nunzio Coyle
• Janis Marie Davidson, PHD, CFNP
• Dentrust Dental, P.a. (Docs Dental Joint Base McGuire Dix Lakehurst)
• Victor M Figueroa, IDMT
• Erwin Hillard Goldrich, DMD
• Jamie Greenspan, MSW, LCSW, LCADC
• Michelle Denise Guy, LPN
• Vincent Depaul Hess, LPN
• Joy A Hoffman, PTA
• Bruce Wayne Holmes, PSY.D

• General Practice Physician in Fort Dix, NJ
• Providers in Fort Dix, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.