Healthcare Provider Details

I. General information

NPI: 1750456604
Provider Name (Legal Business Name): GINA KASSEL ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 RUMSON RD
RUMSON NJ
07760-1920
US

IV. Provider business mailing address

43 RUMSON RD
RUMSON NJ
07760-1920
US

V. Phone/Fax

Practice location:
  • Phone: 908-658-3167
  • Fax: 908-658-5538
Mailing address:
  • Phone: 908-658-3167
  • Fax: 908-658-5538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37F100153000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: