Provider Demographics
NPI:1336021930
Name:ACCEUS, GREGORIE (APN)
Entity type:Individual
Prefix:
First Name:GREGORIE
Middle Name:
Last Name:ACCEUS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:GREGORIE
Other - Middle Name:
Other - Last Name:DELLOPHINE PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 BRITTON CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2608
Mailing Address - Country:US
Mailing Address - Phone:609-647-3324
Mailing Address - Fax:
Practice Address - Street 1:2 UNIVERSITY PLZ STE 204
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6211
Practice Address - Country:US
Practice Address - Phone:551-550-9547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15351100363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care