Meaghan Rose Gavan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00308500 Issued in NJ

Practice address

234 Industrial Way W Ste A103
Suite a
Eatontown, NJ 07724-4257

Phone

(848) 208-2055

NPI assigned

Sep 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Meaghan Rose Brennan Former name

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morgan DermatologyGroup PAC ID 9537319868, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.87

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Morgan Dermatology

  • Medical Specialty Clinic/Center
  • Neptune, NJ
  • NPI 1457613309
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477180800000",
    "number": "1881029007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W STE A103",
            "address_2": "SUITE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244257",
            "telephone_number": "848-208-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W STE A103",
            "address_2": "SUITE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244257",
            "telephone_number": "848-208-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVAN",
        "first_name": "MEAGHAN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2016-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00308500",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "BRENNAN",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirsten Gallo, PHARMD
• Sushma Gangisetty, OD
• Erica Garcia, LPC
• Garden State Spine and Pain Institute LLC
• Gateway Care Center, LLC
• Heather D Gebhardt, LPC
• Jules M Geltzeiler, MD
• Nikita George, A.A.S., B.SC.
• Steven George
• Ryan Gervasi, LCSW, RYT

• Physician Assistant in Eatontown, NJ
• Providers in Eatontown, 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 Oct 23, 2016; 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.