Individual provider Active NPI

Gerard A Machado, PSYD, APN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1720064215
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00040600 Issued in NJ
Practice address
305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone
(908) 454-7244
Fax
(908) 859-2109
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00040600 NJ Primary

Addresses

Primary practice location

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600

Mailing address

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone (908) 454-7244

Other identifiers 1

IdentifierTypeStateIssuer
076429OtherNJNURSE PRACTITIONER

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Govindji Fuletra MD PC PastSince Apr 1, 2005 Accepting new patients
Subhashchandra Javia,M.D.P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1720064215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "GERARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD, APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00040600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "076429",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.