MEDICARE: DR. JENNIFER NEWMAN-GAEWSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	25IA12713300	NJ
2	2084P0804X	Child & Adolescent Psychiatry Physician	71254	TN
3	2084P0804X	Child & Adolescent Psychiatry Physician	036.176912	IL
4	2084P0804X	Child & Adolescent Psychiatry Physician	3471297	ID
5	2084P0804X	Child & Adolescent Psychiatry Physician	ME175008	FL

General Provider Information

NPI Number	:	1568025955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER NEWMAN-GAEWSKY MD

Provider Business Mailing Address
First Line	:	4205 HILLSBORO PIKE STE 203
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3458
Country	:	US
Telephone Number	:	615-200-7329
Fax Number	:	615-523-2302

Provider Business Practice Location Address
First Line	:	4205 HILLSBORO PIKE STE 203
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3458
Country	:	US
Telephone Number	:	615-200-7370
Fax Number	:	615-523-2302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2019
Last Update Date	:	01/21/2026

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