Active NPI
Gabriella George
- Psychologist
- Weehawken, NJ
National Provider Identifier
1811776586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00751300
- Practice address
- 200 Eton Row Apt 63
Weehawken, NJ 07086-6783 - Phone
- (201) 675-5028
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 026811 | NY | |
| Psychologist | 103T00000X | 35SI00751300 | NJ | Primary |
Addresses
Primary practice location
200 Eton Row Apt 63
Weehawken, NJ 07086-6783
Mailing address
200 Eton Row Apt 63
Weehawken, NJ 07086-6783
Phone (201) 675-5028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612003178 | NY | Order and Referring Only - Clinical Psychologist | 5496266926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00751300 | NJ | MD | Psychologist |
| 026811 | NY | MD | Physical Medicine & Rehabilitation Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1811776586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ETON ROW APT 63",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070866783",
"telephone_number": "201-675-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ETON ROW APT 63",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070866783",
"telephone_number": "201-675-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "026811",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00751300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weehawken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.