John A Gasataya
John A Gasataya is a Nurse Practitioner in Lodi, New Jersey. Qualified in 2021, 5 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 5
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
348 Harrison AveLodi, NJ 07644-1121
Phone: (212) 804-8226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ01261700 (NJ) |
|---|
Record details
| NPI number | 1750033320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 24, 2022 |
| Last updated in NPPES | November 12, 2022 |
| Certification date | November 12, 2022 |
| Mailing address | 348 Harrison Ave, Lodi, NJ 07644-1121 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Nj Memory And Behavioral Care — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Lodi
-
Judith Bertram, NP
10 Hughes St, Lodi, NJ 07644-1211 · (917) 806-8916