Active NPIIndividual provider

Jeanette M Gerould, PA

Physician Assistant, Surgical in Cliffside Park, New Jersey

NPI Number1700139540
Practice location
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Fax
201-943-7308
Last updated
October 17, 2012

Jeanette M Gerould is a Physician Assistant, Surgical based in Cliffside Park, NJ. Jeanette M Gerould practices in Cliffside Park, NJ and has the professional credentials of PA. The NPI Number for Jeanette M Gerould is 1700139540 and holds a License No. 25MP00293700 (NJ). The current practice location address for Jeanette M Gerould is 663 Palisade Ave, Cliffside Park, NJ 07010-3012 and can be reached out via phone at 201-943-9100 and via fax at 201-943-7308.

Provider Profile Details

NPI Number
1700139540
Provider Name
Jeanette M Gerould
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Phone Number
201-943-9100
Fax Number
201-943-7308
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2012
Last Update Date
October 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
663 Palisade Ave
Cliffside Park, NJ 07010-3012
Zip
07010-3012
Phone Number
201-943-9100
Fax Number
201-943-7308
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
111 Galway Pl
Teaneck, NJ 07666-3640
City
Teaneck
State
NJ
Zip
07666-3640
Phone Number
201-833-9500
Fax Number
201-862-0095

License Information

License Number
25MP00293700
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

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 Jeanette M Gerould, PA?

The NPI number of Jeanette M Gerould, PA is 1700139540. It was assigned on October 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Jeanette M Gerould, PA?

Jeanette M Gerould, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00293700.

Where does Jeanette M Gerould, PA practice?

The practice location is 663 Palisade Ave, Cliffside Park, NJ 07010-3012. The office can be reached at 201-943-9100 (phone) or 201-943-7308 (fax).

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 1700139540 directly on the NPPES registry website.

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