Unknown Individual – Gerontology Clinical Nurse Specialist, NPI 1063947752
Gerontology Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
207, Walton Street, Downtown Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States
APT B
RIDGEWOOD, NJ 07450
Phone: (201) 693-0499
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Integra LifeSciences Corporation ($164).
Total Amount
$184
General + Research + Ownership
Payments
2
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $164 |
| Haemonetics Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | NJ | |
| - | NJ | |
| P S Y C H I A T R Y | NJ | |
| - | TX | |
| P A T H O L O G Y | FL | |
| - | NJ | |
| - | NJ | |
| Emergency Medicine | NJ | |
| - | NJ |
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