DENISE GORHAM
NPI 1457048027
Nurse Practitioner - Primary Care in Berkeley Heights, NJ

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 273-4300 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Denise Gorham NPPES

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

DENISE GORHAM (NPI 1457048027) is an individual primary care provider in Berkeley Heights, New Jersey, licensed in New Jersey (26NJ01434500) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457048027
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDENISE GORHAM
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 24, 2023
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1457048027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ01434500
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ01434500 (NJ)
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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

Denise Gorham 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 ID8325493943
PECOS Enrollment IDI20231017000558
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services71 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

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 Denise Gorham's NPI number?

The NPI number for Denise Gorham is 1457048027. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Denise Gorham located?

Denise Gorham practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 273-4300.

What is Denise Gorham's specialty?

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

Is Denise Gorham enrolled in Medicare?

Yes. Denise Gorham 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.

Is Denise Gorham affiliated with any hospitals?

According to CMS data, Denise Gorham is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Denise Gorham was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.