IndividualActive
Andrew Gustavson, MA
NPI 1053826560 · Case Manager/Care Coordinator · Newark, NJ
Provider details
- NPI number
- 1053826560
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
183 South Orange Avenue
Floor D
Newark, NJ 07103
Phone: (973) 972-5479
Approximate (ZIP-level) locationGet directions
Mailing address
671 Hoes Lane
Piscataway, NJ 08855
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2017-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.