Yann Shea Stephanie Gaston, RN BSN
Individual provider Active NPI Home Health Registered Nurse · Avenel, NJ
NPI 1801508668 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1801508668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 847796 (NY)
- Practice address
- 345 Edgerton Blvd Apt 105
Avenel, NJ 07001-2246 - Phone
- (718) 309-0057
- NPI assigned
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR24609900 | NJ | MD | Emergency Registered Nurse |
| 847796 | NY | MD | Hospice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 847796 | NY | |
| Infusion Therapy Registered Nurse | 163WI0500X | 26NR24609900 | NJ | |
| Rehabilitation Registered Nurse | 163WR0400X | 26NR24609900 | NJ | |
| Home Health Registered Nurse | 163WH0200X | 847796 | NY | Yes |
| Emergency Registered Nurse | 163WE0003X | 26NR24609900 | NJ |
Addresses
Primary practice location
345 Edgerton Blvd Apt 105
Avenel, NJ 07001-2246
Mailing address
345 Edgerton Blvd Apt 105
Avenel, NJ 07001-2246
Phone (718) 309-0057
Other providers in Avenel, NJ
- Aneesah Friday
- Hal Fruchtman
- Anna Gabbard
- Ramarao Gajula
- Patrice Garrison
- Gaurang Patel MD LLC
- Genpsych Avenel
- Gentle Hands Caring Hearts
- Tony K George
- Global Communication Enterprises
All providers in Avenel, NJ · Home Health Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.