Gertrude S. Lefavour

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA57307 Issued in NJ

Practice address

125 Paterson St
Suite 5100B
New Brunswick, NJ 08901-1962

Phone

(732) 235-6512

Fax

(732) 235-6124

NPI assigned

Jul 15, 2006

Last updated

Sep 19, 2011By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1841216397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "2ND FLOOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "SUITE 5100B",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6512",
            "fax_number": "732-235-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFAVOUR",
        "first_name": "GERTRUDE",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA57307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R R MCR",
            "identifier": "390002448",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lee, MS, RD
• Mikaela Lee, DO
• See Gin Lee
• Sek Eun Lee
• Youn Joon Lee, DO
• Beatriz Lega, MD
• Samantha Leib, M.D.
• Deborah Leif, MSW, LCSW
• Justin Walter Leighton, M.S.
• Anthony Lemaire, M.D.

• Nephrology Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.