Emily Lauren Gardner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00604000 Issued in NJ

Practice address

4000 Church Rd
Mount Laurel, NJ 08054-1110

Phone

(856) 222-4444

Fax

(856) 222-0049

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Brain and Spine, LLC

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1922771377
  Medicare reassignment Care Compare group NPD
• Coastal Spine PC

  • Orthopaedic Surgery of the Spine Physician
  • Mount Laurel, NJ
  • NPI 1417985094
  Medicare reassignment
• Premier Brain and Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, NJ
  • NPI 1427944156
  NPD

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1831780576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Landis Ave Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083608140",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Chris Gaupp Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054490",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Heritage Valley Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801764",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-740-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00604000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niru Gaind, D.M.D
• Galenus Precision Pharmacy, Inc.
• Meaghan Elizabeth Gallagher
• Harshitha Saikumar Gandapodi
• Valerie Garcia
• Andrew Michael Gargiulo Jr., M.D.
• Daniel Francisco Garrido, MD
• Jade N Gasper
• Kathleen Gatton
• Travis James Gehringer, M.D.

• Physician Assistant in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.