Individual provider Active NPI

Gwen A Urs, DMSC, MS, PA-C.

  • Physician Assistant
  • Freehold, NJ
National Provider Identifier
1942358288
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00110300 Issued in NJ
Practice address
301 Professional View Dr BLDG 300
Freehold, NJ 07728-7904
Phone
(732) 720-2555
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00110300 NJ Primary

Addresses

Primary practice location

301 Professional View Dr BLDG 300
Freehold, NJ 07728-7904

Mailing address

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

Other practice location 1

10 Parsonage Rd Ste 500
Edison, NJ 08837-2475
Phone (732) 494-6226

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
I20041203000432 NJ Practitioner - Physician Assistant 5294791026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

312 Applegarth Rd
Suite 1
Monroe, NJ 08831-5347
Phone (732) 720-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Oct 26, 2020 Accepting new patients

Locations

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

301 Professional View Dr
Bldg 300
Freehold, NJ 07728
Phone (518) 573-8465

Interoperability endpoints

  • Direct secure messaging: gurs425529@direct.ahsys.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1942358288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-720-2555",
            "fax_number": "732-720-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROFESSIONAL VIEW DR BLDG 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-720-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Parsonage Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372475",
            "country_code": "US",
            "telephone_number": "732-494-6226",
            "fax_number": "732-494-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URS",
        "first_name": "GWEN",
        "middle_name": "A",
        "credential": "DMSC, MS, PA-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00110300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.