Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald J Durivage, APN

Individual provider Nurse Practitioner · NPI 1023486644

Gerald J Durivage, APN is a Nurse Practitioner in Blackwood, New Jersey. Qualified in 2014, 12 years ago. Practices with Optum Medical Care of New Jersey PC, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

6 Collier Dr
Blackwood, NJ 08012-2983
Phone: (610) 908-9811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP015225 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP015225 (PA)

Record details

NPI number1023486644
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address6 Collier Dr, Blackwood, NJ 08012-2983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optum Medical Care Of New Jersey Pc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Blackwood