Ketevan Gogidze
Registered Nurse in West Orange, New Jersey
1457294746- Practice location
- 1199 Pleasant Valley Way, West Orange, NJ 07052-1424
- Phone
- 973-731-3600
- Fax
- —
- Last updated
- April 11, 2026
Ketevan Gogidze is a Registered Nurse based in West Orange, NJ. Ketevan Gogidze practices in West Orange, NJ. The NPI Number for Ketevan Gogidze is 1457294746 and holds a License No. 26NR12871200 (NJ). The current practice location address for Ketevan Gogidze is 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 and can be reached out via phone at 973-731-3600.
Provider Profile Details
- NPI Number
- 1457294746
- Provider Name
- Ketevan Gogidze
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1199 Pleasant Valley Way, West Orange, NJ 07052-1424
- Phone Number
- 973-731-3600
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2026
- Last Update Date
- April 11, 2026
- Certification Date
- April 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1199 Pleasant Valley Way
West Orange, NJ 07052-1424 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-1424
- Phone Number
- 973-731-3600
Provider Business Mailing Address Details
- Address
- 15 Blaine St
Millburn, NJ 07041-1308 - City
- Millburn
- State
- NJ
- Zip
- 07041-1308
- Phone Number
- 862-215-7558
License Information
- License Number
- 26NR12871200
- License State
- NJ
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near West Orange, NJ
View all Registered Nurses in West Orange →Frequently Asked Questions
What is the NPI number of Ketevan Gogidze?
The NPI number of Ketevan Gogidze is 1457294746. It was assigned on April 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Ketevan Gogidze?
Ketevan Gogidze is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26NR12871200.
Where does Ketevan Gogidze practice?
The practice location is 1199 Pleasant Valley Way, West Orange, NJ 07052-1424. The office can be reached at 973-731-3600 (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 1457294746 directly on the NPPES registry website.