Individual provider Active NPI

John A Gasataya

  • Psychiatric/Mental Health Nurse Practitioner
  • Lodi, NJ
National Provider Identifier
1750033320
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01261700 Issued in NJ
Practice address
348 Harrison Ave
Lodi, NJ 07644-1121
Phone
(212) 804-8226
NPI assigned
Jan 24, 2022
Last updated
Nov 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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 26NJ01261700 NJ Primary

Addresses

Primary practice location

348 Harrison Ave
Lodi, NJ 07644-1121

Mailing address

348 Harrison Ave
Lodi, NJ 07644-1121
Phone (212) 804-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214001191 NJ Practitioner - Nurse Practitioner 0547653628 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians
Supportive Care Psychology of NJ PCGroup PAC ID 6002162252, 23 clinicians
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

231 Warner St
Toms River, NJ 08755-1028
Phone (718) 298-4375

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

51 JFK Pkwy
Short Hills, NJ 07078-2704
Phone (917) 582-6622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.24 of 100Reported as group
Quality
81.01
Improvement activities
40
Cost
88.95

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC Psychiatric/Mental Health CurrentSince Apr 12, 2022 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince Feb 1, 2022 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Jun 1, 2022 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Oct 22, 2024 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Oct 22, 2024 Accepting new patients
Nynj Psychiatric Associates LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

231 Warner St
Toms River, NJ 08755
Phone (732) 942-0800

Interoperability endpoints

  • Direct secure messaging: jgasataya244630@epicdirect.rwjbh.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1750033320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 HARRISON AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441121",
            "telephone_number": "212-804-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 HARRISON AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441121",
            "telephone_number": "212-804-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASATAYA",
        "first_name": "JOHN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01261700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

Verify at the official NPI Registry.