Provider Demographics
NPI:1215173281
Name:GASKINS, CINDY LEE (APN)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:LEE
Last Name:GASKINS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:LEE
Other - Last Name:FEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 WICHSER LN
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2618
Mailing Address - Country:US
Mailing Address - Phone:908-361-0353
Mailing Address - Fax:908-279-7689
Practice Address - Street 1:776 MOUNTAIN BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6269
Practice Address - Country:US
Practice Address - Phone:908-361-0353
Practice Address - Fax:908-279-7689
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00169000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health