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LIZKEBE GADO NP
NPI 1053207522
Nurse Practitioner - Primary Care in Penns Grove, NJ

Active since June 13, 2025PECOS EnrolledAccepts Medicare Assignment
362 ANNABELLE AVE, PENNS GROVE, NJ 08069(803) 728-7824 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Jan 27, 2026, Jun 13, 2025 (3 updates tracked since 2025).

About Lizkebe Gado Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZKEBE GADO NP (NPI 1053207522) is an individual primary care provider in Penns Grove, New Jersey, licensed in Pennsylvania (SP032591) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053207522
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLIZKEBE GADOCredential: NP
Location Address362 ANNABELLE AVEPenns Grove, NJ 08069-2621
Mailing Address362 Annabelle AvePenns Grove, NJ 08069-2621 · (803) 728-7824
Phone(803) 728-7824
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2025
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1053207522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in PA · SP032591✔ Licensed in NY · 312817
362 ANNABELLE AVE, Penns Grove, NJ 08069
Open in Google Maps ↗

Secondary Practice Locations 3

Location 118 E 41st St Fl 14New York, NY 10017-6244 · Phone (215) 585-2144 · Fax (833) 228-5591
Location 2161 Cecil B Moore Ave Apt 204Philadelphia, PA 19122-3243 · Phone (866) 306-2026
Location 3527 Bay Rd Ste 7Queensbury, NY 12804-1430 · Phone (215) 585-2144 · Fax (833) 228-5591

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lizkebe Gado Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678086915
PECOS Enrollment IDI20250701000355, I20260604002242
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lizkebe Gado's NPI number?

The NPI number for Lizkebe Gado is 1053207522. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Lizkebe Gado located?

Lizkebe Gado practices at 362 Annabelle Ave, Penns Grove, NJ 08069. The listed phone number is (803) 728-7824.

What is Lizkebe Gado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lizkebe Gado enrolled in Medicare?

Yes. Lizkebe Gado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lizkebe Gado was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.