Individual provider Active NPI

Loriann Gibson, APN

  • Gerontology Nurse Practitioner
  • Manchester, NJ
National Provider Identifier
1801462668
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01064500 Issued in NJ
Practice address
101 S Colonial Dr
Manchester, NJ 08759-6499
Phone
(732) 657-2121
NPI assigned
Jun 2, 2021
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01064500 NJ Primary
Gerontology Registered Nurse 163WG0600X 26NJ01064500 NJ

Addresses

Primary practice location

101 S Colonial Dr
Manchester, NJ 08759-6499

Mailing address

101 S Colonial Dr
Manchester, NJ 08759-6499
Phone (732) 657-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL computer Other

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
I20220509000632 NJ Practitioner - Nurse Practitioner 8022495308 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01064500NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 9, 2023 Accepting new patients
Atlantic Coast Urology,PA CurrentSince Jun 1, 2022 Accepting new patients
Bankim D. Shah M.D. PA CurrentSince Apr 1, 2024 Accepting new patients
Dover Heart Specialists, P.C. PastSince May 18, 2003 Accepting new patients
Himansh Khanna, MD, PC PastSince Jun 1, 2022 Accepting new patients

Locations

525 Jack Martin Blvd
Ste 304
Brick, NJ 08724
Phone (732) 840-6606

1944 Corlies Ave
Ste 101
Neptune, NJ 07753
Phone (732) 775-8444

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

19 Mule Rd
Ste C7
Toms River, NJ 08755
Phone (732) 557-4488

25 Mule Rd
Unit B4
Toms River, NJ 08755
Phone (732) 341-0020

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1801462668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COLONIAL DR",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596499",
            "telephone_number": "732-657-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COLONIAL DR",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596499",
            "telephone_number": "732-657-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LORIANN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01064500",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NJ01064500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "computer",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "computer",
            "address_1": "101 S Colonial Dr",
            "city": "Manchester",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087596401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

Verify at the official NPI Registry.