GARY NELSON (NPI# 1083088868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083088868 |
| Entity Type | Individual |
| Full Name | GARY NELSON |
| Credential | NCC, LPC |
| Practice Address |
8008 Route 130 Bldg A Ste 206 Delran NJ 08075-1869 |
| Mailing Address |
48 Edge Ln Willingboro NJ 08046-2437 |
| Practice Telephone | 8562948448 |
| Mailing Telephone | 8562948448 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00645200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
| 1619090834 | Gary L Nelson | Counselor | 14301 County Highway B, Sparta, WI 54656-4509 | 2007-04-10 |
| 1558423384 | Gary Lee Nelson | Dentist | 274 Delaware Avenue, Delmar, NY 12054 | 2006-12-15 |
| 1033277629 | Gary H Nelson | Technician/Technologist | 707 Fairmount Ave, Suite 11, Jamestown, NY 14701-2623 | 2006-12-05 |
| 1700954518 | Gary J Nelson | Dentist | 3350 S 15th E, Idaho Falls, ID 83404-8321 | 2006-12-01 |
| 1144327396 | Gary G Nelson | Specialist/Technologist | 2580 Mccrays Mill Rd, Sumter, SC 29154-6028 | 2006-09-20 |
| 1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
| 1245209634 | Gary Robert Nelson | Family Medicine | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 | 2006-03-16 |
| 1396290201 | Gary Edwin Nelson | Pharmacist | 1700 Ne 102nd Ave, Portland, OR 97220-3804 | 2016-08-20 |
| 1558644351 | Gary W Nelson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2011-09-28 |
| Street Address |
8008 ROUTE 130 BLDG A STE 206 |
| City | DELRAN |
| State | NJ |
| Zip Code | 08075-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
| 1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
| 1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
| 1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
| 1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
| 1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
| 1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
| 1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
| 1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
| 1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
| Find all providers in zip 08075 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| 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.