Provider Demographics
NPI:1134347743
Name:GERACE, CATHERINE ANDREA (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANDREA
Last Name:GERACE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ANDREA
Other - Last Name:QUIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:64 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4219
Mailing Address - Country:US
Mailing Address - Phone:609-577-2784
Mailing Address - Fax:
Practice Address - Street 1:64 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4219
Practice Address - Country:US
Practice Address - Phone:609-577-2784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-22
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12053000367500000X
NY550093-1367500000X
NJ26NJ00179000367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123946A01Medicare PIN