JEANETTE M GEROULD PA
NPI 1700139540
Physician Assistant - Surgical in Cliffside Park, NJ
About Jeanette M Gerould Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTE M GEROULD PA (NPI 1700139540) is an individual surgical provider in Cliffside Park, New Jersey, licensed in New Jersey (25MP00293700) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanette M Gerould Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CLIFFSIDE PARK, NJ 07010
CLIFFSIDE PARK, NJ 07010
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 Jeanette Gerould's NPI number?
The NPI number for Jeanette Gerould is 1700139540. It was assigned to this individual provider in the NPPES registry on October 17, 2012.
Where is Jeanette Gerould located?
Jeanette Gerould practices at 663 Palisade Ave, Cliffside Park, NJ 07010. The listed phone number is (201) 943-9100.
What is Jeanette Gerould's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jeanette Gerould enrolled in Medicare?
Yes. Jeanette Gerould is registered in the Medicare PECOS enrollment system.
What insurance does Jeanette Gerould accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Jeanette Gerould as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeanette Gerould was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jeanette M Gerould, PA · NPI 1700139540
Surgical physician in Cliffside Park, New Jersey. Individual provider, active in the CMS NPPES registry since October 17, 2012.
## Identity
- **NPI:** 1700139540 (Entity type: Individual)
- **Enumerated:** October 17, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00293700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 663 PALISADE AVE, Cliffside Park, NJ 07010-3012
- **Phone:** (201) 943-9100 · **Fax:** (201) 943-7308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 17, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1700139540) · Data from the CMS NPPES public registry.