Basic Information
| Provider Information | |||||||||
| NPI: | 1104866797 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAUFF | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | RN. APN-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 CEDAR CREAST VILLAGE DR | ||||||||
| Address2: | CEDAR CREST VILLAGE MEDICAL CENTER | ||||||||
| City: | POMPTON PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738313540 | ||||||||
| FaxNumber: | 9738313503 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 CEDAR CREST VILLAGE DR | ||||||||
| Address2: | CEDAR CREST VILLAGE MEDICAL CENTER | ||||||||
| City: | POMPTON PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074442100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9738313540 | ||||||||
| FaxNumber: | 9738313503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 03/03/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WG0100X | 26NO06902700 | NJ | N | Nursing Service Providers | Registered Nurse | Gastroenterology | 363LG0600X | 26NN06902700 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
ID Information
| ID | Type | State | Issuer | Description | 522114204C | 01 | BCBS OF NJ | OTHER | 8331201 | 05 | NJ | MEDICAID | 8304131 | 01 | EVERCARE | OTHER |