Healthcare Provider Details

I. General information

NPI: 1578009965
Provider Name (Legal Business Name): GK HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PERRINE RD, SUITE 221
OLD BRIDGE NJ
08857-2836
US

IV. Provider business mailing address

200 PERRINE RD, SUITE 221
OLD BRIDGE NJ
08857-2836
US

V. Phone/Fax

Practice location:
  • Phone: 732-264-1163
  • Fax: 732-264-3580
Mailing address:
  • Phone: 732-264-1163
  • Fax: 732-264-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA09476100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA09474900
License Number StateNJ

VIII. Authorized Official

Name: VANESSA MAE ABRINA
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 732-787-0568