Individual provider Active NPI

Dawn Ann Gerdes, MS, RN, APN-C

  • Pediatric Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1861647778
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00011900 Issued in NJ
Practice address
557 Cranbury Rd
East Brunswick, NJ 08816-5419
Phone
(732) 613-9144
NPI assigned
Nov 19, 2008
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00011900 NJ Primary

Addresses

Primary practice location

557 Cranbury Rd
East Brunswick, NJ 08816-5419

Mailing address

9 Justin CT
Marlboro, NJ 07746-1832
Phone (732) 252-5660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210211002281 NJ Practitioner - Nurse Practitioner 3476968058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00011900NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients

Locations

620 Cranbury Rd
Ste 111
East Brunswick, NJ 08816
Phone (732) 238-2662

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Ste 203
Neptune, NJ 07753
Phone (732) 776-4755

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

516 Lawrie St
Ste 1
Perth Amboy, NJ 08861

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: dawn.gerdes@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1861647778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUSTIN CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461832",
            "telephone_number": "732-252-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165419",
            "telephone_number": "732-613-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "DAWN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00011900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.