Active NPIIndividual provider

Mrs. Michelyne Gavin, AGNP-C

Nurse Practitioner, Gerontology in Englewood, New Jersey

NPI Number1386352797
Practice location
350 Engle St, Englewood, NJ 07631-1808
Fax
—
Last updated
October 16, 2026

Michelyne Gavin is a Nurse Practitioner, Gerontology based in Englewood, NJ. Michelyne Gavin practices in Englewood, NJ and has the professional credentials of AGNP-C. The NPI Number for Michelyne Gavin is 1386352797 and holds a License No. 26NJ01448900 (NJ). The current practice location address for Michelyne Gavin is 350 Engle St, Englewood, NJ 07631-1808 and can be reached out via phone at 201-568-5250.

Provider Profile Details

NPI Number
1386352797
Provider Name
Michelyne Gavin
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St, Englewood, NJ 07631-1808
Phone Number
201-568-5250
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2022
Last Update Date
October 16, 2026
Certification Date
October 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St
Englewood, NJ 07631-1808
Zip
07631-1808
Phone Number
201-568-5250
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
350 Engle St
Englewood, NJ 07631-1808
City
Englewood
State
NJ
Zip
07631-1808
Phone Number
201-568-5250

License Information

License Number (1)
26NJ01448900
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (2)
26NR13949600
License State (2)
NJ
Taxonomy (2)
Registered Nurse, Oncology · 163WX0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Michelyne Gavin, AGNP-C?

The NPI number of Mrs. Michelyne Gavin, AGNP-C is 1386352797. It was assigned on November 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Michelyne Gavin, AGNP-C?

Mrs. Michelyne Gavin, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ01448900.

Where does Mrs. Michelyne Gavin, AGNP-C practice?

The practice location is 350 Engle St, Englewood, NJ 07631-1808. The office can be reached at 201-568-5250 (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 1386352797 directly on the NPPES registry website.

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