Individual provider Active NPI

Edmary Gaugler, LCSW

  • Clinical Social Worker
  • Atlantic Highlands, NJ
National Provider Identifier
1821556945
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06089500 Issued in NJ
Practice address
1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533
Phone
(239) 316-5549
NPI assigned
Mar 7, 2019
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06089500 NJ Primary

Addresses

Primary practice location

1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533

Mailing address

1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533

Other practice location 1

124 Gregory Ave Ste 202
Passaic, NJ 07055-4856
Phone (973) 928-7244 ext. 102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06089500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Clinic of Passaic Inc PastSince Oct 8, 1990 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/mhcp/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1821556945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 HIGHWAY 36 FL 1",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 HIGHWAY 36 FL 1",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162533",
            "telephone_number": "239-316-5549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Gregory Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554856",
            "country_code": "US",
            "telephone_number": "973-928-7244 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGLER",
        "first_name": "EDMARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06089500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.