Gerardis, Judi R
Gerardis, Judi R is an individual health care provider with primary practice located at 20 Prospect Ave Suite 607, Hackensack NJ 07601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gerardis, Judi R can be contacted via phone (201) 487-3464.Contact Information
Primary practice address
20 Prospect Ave Suite 607
Hackensack NJ 07601
Phone: (201) 487-3464
Fax: (201) 487-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MA66371 | New Jersey |
Profile Details
| NPI number | 1528028313 |
|---|---|
| LBN Legal business name | Gerardis, Judi R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528028313 | NPPES |
| New Jersey | Other | 160059349 | RAILROAD MEDICARE# |
| New Jersey | Other | P677956 | RAILROAD MEDICARE# |
| New Jersey | Other | 0980221 | RAILROAD MEDICARE# |
| New Jersey | Other | 50Z731 | RAILROAD MEDICARE# |
| New Jersey | Other | 5710263 | RAILROAD MEDICARE# |
| New Jersey | Other | 0K9231 | RAILROAD MEDICARE# |
| New Jersey | Other | 5217583 | RAILROAD MEDICARE# |
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