Theodore P Sgambati, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA055600 Issued in NJ

Practice address

2 Sears Dr
Floor 2
Paramus, NJ 07652-3539

Phone

(201) 262-2333

Fax

(201) 262-4515

NPI assigned

Dec 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100Reported as apm

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• Luongo Medical Associates

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1073670956
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1053398602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGHLAND RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452013",
            "telephone_number": "201-476-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SEARS DR",
            "address_2": "FLOOR 2",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523539",
            "telephone_number": "201-262-2333",
            "fax_number": "201-262-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGAMBATI",
        "first_name": "THEODORE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA055600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5370906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tusharbala Sethy
• Usha Setia, MD
• Nadia M Setzer, APN
• Pat Vincent Severino Jr.
• Shabnam Seydafkan
• Phillip Johnathan Sgobba, MD
• Dana Shafer, CSW MSW
• Apeksha K Shah
• Rutvi Desai Shah, O.D.
• Viral Jagdishbhai Shah, M.D.

• Internal Medicine Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.