Individual provider Active NPI

Ashli Gaulette, RN

  • Registered Nurse
  • East Orange, NJ
National Provider Identifier
1982392957
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR16972600 Issued in NJ
Practice address
200 Freeway Dr E Ste 305
East Orange, NJ 07018-3809
Phone
(973) 310-2000
NPI assigned
Apr 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16972600 NJ Primary

Addresses

Primary practice location

200 Freeway Dr E Ste 305
East Orange, NJ 07018-3809

Mailing address

200 Freeway Dr E Ste 305
East Orange, NJ 07018-3809
Phone (973) 310-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16972600NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
BMG East Orange LLC CurrentSince Apr 30, 2023 Accepting new patients
Crescent Medical Group PC PastSince Apr 30, 2023 Accepting new patients

Locations

200 Freeway Dr E
Ste 305
East Orange, NJ 07018
Phone (973) 310-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1982392957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FREEWAY DR E STE 305",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183809",
            "telephone_number": "973-310-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FREEWAY DR E STE 305",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183809",
            "telephone_number": "973-310-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULETTE",
        "first_name": "ASHLI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16972600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.