Gerald J Durivage, APN
Nurse Practitioner, Family in Blackwood, New Jersey
1023486644- Practice location
- 6 Collier Dr, Blackwood, NJ 08012-2983
- Phone
- 610-908-9811
- Fax
- —
- Last updated
- December 9, 2025
Gerald J Durivage is a Nurse Practitioner, Family based in Blackwood, NJ. Gerald J Durivage practices in Blackwood, NJ and has the professional credentials of APN. The NPI Number for Gerald J Durivage is 1023486644 and holds a License No. SP015225 (PA). The current practice location address for Gerald J Durivage is 6 Collier Dr, Blackwood, NJ 08012-2983 and can be reached out via phone at 610-908-9811.
Provider Profile Details
- NPI Number
- 1023486644
- Provider Name
- Gerald J Durivage
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6 Collier Dr, Blackwood, NJ 08012-2983
- Phone Number
- 610-908-9811
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 14, 2015
- Last Update Date
- December 9, 2025
- Certification Date
- December 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Collier Dr
Blackwood, NJ 08012-2983 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2983
- Phone Number
- 610-908-9811
Provider Business Mailing Address Details
- Address
- 6 Collier Dr
Blackwood, NJ 08012-2983 - City
- Blackwood
- State
- NJ
- Zip
- 08012-2983
- Phone Number
- 610-908-9811
License Information
- License Number (1)
- SP015225
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- SP015225
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Blackwood, NJ
View all Nurse Practitioner, Family providers in Blackwood →Frequently Asked Questions
What is the NPI number of Gerald J Durivage, APN?
The NPI number of Gerald J Durivage, APN is 1023486644. It was assigned on September 14, 2015 and is currently active in the NPPES registry.
What is the specialty of Gerald J Durivage, APN?
Gerald J Durivage, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP015225.
Where does Gerald J Durivage, APN practice?
The practice location is 6 Collier Dr, Blackwood, NJ 08012-2983. The office can be reached at 610-908-9811 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023486644 directly on the NPPES registry website.