Individual provider Active NPI

Pamela Gau, APRN

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1770695843
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000962 Issued in CT
Practice address
112 Quarry Rd
Suite 120
Trumbull, CT 06611-4816
Phone
(203) 372-4065
Fax
(203) 372-1644
NPI assigned
Aug 31, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000962 CT Primary

Addresses

Primary practice location

112 Quarry Rd
Suite 120
Trumbull, CT 06611-4816

Mailing address

112 Quarry Rd
Suite 120
Trumbull, CT 06611-4816
Phone (203) 372-4065

Other names 1

  • Pamela Marino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090130000359 CT Practitioner - Nurse Practitioner 2365506698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000962CTMDPhysician Assistant
0000962CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jun 1, 2014 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

112 Quarry Rd
Ste 120
Trumbull, CT 06611
Phone (203) 372-4065

112 Quarry Rd
Ste 150
Trumbull, CT 06611
Phone (203) 385-1166

Interoperability endpoints

  • Direct secure messaging: pgau143272@direct.ynhh.org

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, 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1770695843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 120",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114816",
            "telephone_number": "203-372-4065",
            "fax_number": "203-372-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD",
            "address_2": "SUITE 120",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114816",
            "telephone_number": "203-372-4065",
            "fax_number": "203-372-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAU",
        "first_name": "PAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "0000962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MARINO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.