Provider Demographics
NPI:1104866797
Name:GAUFF, CHERYL S (RN APN-C)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:S
Last Name:GAUFF
Suffix:
Gender:F
Credentials:RN APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CEDAR CREAST VILLAGE DR
Mailing Address - Street 2:CEDAR CREST VILLAGE MEDICAL CENTER
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444
Mailing Address - Country:US
Mailing Address - Phone:973-831-3540
Mailing Address - Fax:973-831-3503
Practice Address - Street 1:1 CEDAR CREST VILLAGE DR
Practice Address - Street 2:CEDAR CREST VILLAGE MEDICAL CENTER
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-2100
Practice Address - Country:US
Practice Address - Phone:973-831-3540
Practice Address - Fax:973-831-3503
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06902700163WG0100X
NJ26NN06902700363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
522114204COtherBCBS OF NJ
NJ8331201Medicaid
8304131OtherEVERCARE
NJ8331201Medicaid
042815XNMMedicare PIN
042815QD1Medicare PIN
P00337895Medicare PIN
522114204COtherBCBS OF NJ