Individual provider Active NPI

Gary P Cardiello, MD

  • Internal Medicine Physician
  • Kearny, NJ
National Provider Identifier
1114020690
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04592300 Issued in NJ
Practice address
206 Bergen Ave Ste 201
Kearny, NJ 07032-3386
Phone
(201) 948-5879
Fax
(201) 628-2651
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04592300 NJ Primary

Addresses

Primary practice location

206 Bergen Ave Ste 201
Kearny, NJ 07032-3386

Mailing address

744 Broadway
Bayonne, NJ 07002
Phone (201) 436-8888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000920 NJ Practitioner - Internal Medicine 9931145422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients

Locations

206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: gary.cardiello@direct.carepointhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1114020690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-436-8888",
            "fax_number": "201-436-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE STE 201",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323386",
            "telephone_number": "201-948-5879",
            "fax_number": "201-628-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIELLO",
        "first_name": "GARY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04592300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.