Active NPI
Richard A Gan, MD
- Neurology Physician
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA06475900
- Practice address
- 34-36 Progress St
B-3
Edison, NJ 08820-1197 - Phone
- (908) 757-6633
- Fax
- (908) 757-3912
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA06475900 | NJ | Primary |
Addresses
Primary practice location
34-36 Progress St
B-3
Edison, NJ 08820-1197
Mailing address
34-36 Progress St
B-3
Edison, NJ 08820-1197
Phone (908) 757-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7039301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| HMH Hospitals Corporation | Current | Accepting new patients | |
| HMH Hospitals Corporation | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Community Hospital Group Inc | Current | Accepting new patients | |
| Community Hospital Group, Inc. | Neurology | Current | Accepting new patients |
| Community Hospital Group, Inc | Past | Accepting new patients | |
| Community Hospital Group, Inc | Past | Accepting new patients |
Locations
34-36 Progress St
Ste B3
Edison, NJ 08820
Phone (201) 738-9750
65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- richard.gan@direct.hackensackmeridian.org
Organizations & group practices 8
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.
-
- Specialist
- Edison, NJ
- NPI 1225251754
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Family Medicine Physician
- Edison, NJ
- NPI 1356016661
-
- Neurology Physician
- Edison, NJ
- NPI 1487680013
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Clinic Pharmacy
- Hackensack, NJ
- NPI 1659139376
-
- Specialist
- Edison, NJ
- NPI 1427278258
-
- Cardiovascular Disease Physician
- Edison, NJ
- NPI 1467670224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1063588481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34-36 PROGRESS ST",
"address_2": "B-3",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201197",
"telephone_number": "908-757-6633",
"fax_number": "908-757-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34-36 PROGRESS ST",
"address_2": "B-3",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201197",
"telephone_number": "908-757-6633",
"fax_number": "908-757-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAN",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA06475900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7039301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.