MARY SUSAN GILL (NPI# 1528302874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528302874 |
| Entity Type | Individual |
| Full Name | MARY SUSAN GILL |
| Practice Address |
830 Bear Tavern Rd Ewing NJ 08628-1020 |
| Mailing Address |
209 Windward Ave Beachwood NJ 08722-3941 |
| Practice Telephone | 8003703651 |
| Practice Fax Number | 8605100020 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NC06872900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720354 | Mary Elizabeth Gill | Speech-Language Pathologist | 3524 Maple Ave, Brookfield, IL 60513-1250 | 2018-12-04 |
| 1295155299 | Mary Rose Gill | Registered Nurse | 4237 Dublin Rd, Hilliard, OH 43026-2725 | 2014-04-17 |
| 1740307255 | Mary Lou Gill | Counselor | 400 E Evergreen Blvd Ste 215, Vancouver, WA 98660-3264 | 2007-03-22 |
| 1063586915 | Mary Rebecca Gill | Physical Therapist | 65 1 Carver Road, Dover, DE 19904 | 2006-11-20 |
| 1033196639 | Mary Gill | Nurse Practitioner | 110 Porter Drive, Middlebury, VT 05753 | 2005-12-27 |
| 1528683406 | Mary Ann Gill | Behavior Technician | 5511 Edmondson Pike Ste 105, Nashville, TN 37211-6852 | 2020-06-16 |
| 1023476421 | Mary Anne Gill | Occupational Therapist | 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 | 2016-02-01 |
| 1780801324 | Mary Anne Gill | Physical Therapist | 350 Conway Dr, Kalispell, MT 59901-3148 | 2007-04-18 |
| Street Address |
830 BEAR TAVERN RD |
| City | EWING |
| State | NJ |
| Zip Code | 08628-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982995569 | Medop Behavioral Health Associates of New Jersey PC | Psychiatry & Neurology | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2011-04-29 |
| 1114448628 | Heather Miller | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-07-06 |
| 1013446756 | Kim Chan-baerman | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-06-07 |
| 1083142285 | Melissa Mccausland | Psychologist | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-06-01 |
| 1083149546 | Jessica Andres | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628 | 2017-04-21 |
| 1366815961 | Maxine Bock | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-11-04 |
| 1093187197 | Rachel Birmingham | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-28 |
| 1841662566 | Agiliga Muomah | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
| 1366814022 | Mahip Gupta | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
| 1891166849 | Tessandra Gulbranson | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633435 | Mabrigida S Viaje | Nurse Practitioner | 1440 Pennington Rd, Ewing, NJ 08618-2669 | 2020-06-11 |
| 1083149546 | Jessica Andres | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.