Active NPIIndividual providerSole proprietor

Dr. Elizabeth S Gredell, DO

Family Medicine in Fair Haven, New Jersey

NPI Number1851566525
Practice location
569 River RD, Fair Haven, NJ 07704-3262
Fax
732-530-5895
Last updated
February 28, 2018

Elizabeth S. Gredell is a Family Medicine based in Fair Haven, NJ. Elizabeth S. Gredell practices in Fair Haven, NJ and has the professional credentials of DO. The NPI Number for Elizabeth S. Gredell is 1851566525 and holds a License No. 25mb07347100 (NJ). The current practice location address for Elizabeth S. Gredell is 569 River RD, Fair Haven, NJ 07704-3262 and can be reached out via phone at 732-530-0100 and via fax at 732-530-5895.

Provider Profile Details

NPI Number
1851566525
Provider Name
Elizabeth S. Gredell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
569 River RD, Fair Haven, NJ 07704-3262
Phone Number
732-530-0100
Fax Number
732-530-5895
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2008
Last Update Date
February 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
569 River RD
Fair Haven, NJ 07704-3262
Zip
07704-3262
Phone Number
732-530-0100
Fax Number
732-530-5895
Fair Haven, NJ 07704Get directions →

Provider Business Mailing Address Details

Address
Po Box 8519
Red Bank, NJ 07701-8519
City
Red Bank
State
NJ
Zip
07701-8519
Phone Number
732-460-9840
Fax Number
732-460-9848

License Information

License Number
25mb07347100
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Dr. Elizabeth S Gredell, DO?

The NPI number of Dr. Elizabeth S Gredell, DO is 1851566525. It was assigned on April 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth S Gredell, DO?

Dr. Elizabeth S Gredell, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25mb07347100.

Where does Dr. Elizabeth S Gredell, DO practice?

The practice location is 569 River RD, Fair Haven, NJ 07704-3262. The office can be reached at 732-530-0100 (phone) or 732-530-5895 (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 1851566525 directly on the NPPES registry website.

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