Gary B Nackman, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MA64837 Issued in NJ

Practice address

1037 US Highway 46
Suite 202
Clifton, NJ 07013-2451

Phone

(973) 778-2222

Fax

(973) 860-1148

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Vascular Surgery

Education

Albany Medical College of Union University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Nicholas Professional Medical Services of New York LLCGroup PAC ID 7618231457, 12 clinicians

Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians

USA Vein Clinics of New Jersey LLCGroup PAC ID 1355585191, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.75 of 100Reported as group

Quality

60.77

Promoting interoperability

100

Improvement activities

40

Cost

61.72

Procedures performed for Medicare patients

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.

• Njveincare, LLC

  • Vascular Surgery Physician
  • Clifton, NJ
  • NPI 1821323700

  NJ, Vascular Surgery

  Medicare reassignment NPD Authorized official
• USA Vein Clinics of New Jersey LLC

  • Specialist
  • Tinton Falls, NJ
  • NPI 1245663236

  NJ

  Medicare reassignment Care Compare group NPD
• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067

  NY, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• St. Nicholas Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1033631064

  NY, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• USA Vascular Center of New Jersey LLC

  • Vascular Surgery Physician
  • Orange, NJ
  • NPI 1437701729

  NJ, Vascular Surgery

  Medicare reassignment NPD
• Ameriwound Physicians NJ LLC

  • General Practice Physician
  • North Cape May, NJ
  • NPI 1962807156

  NJ

  Medicare reassignment
• Bushwick Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1720565922

  Vascular Surgery

  NPD (past)
• Vascular Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1346706173
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1114096765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 US HIGHWAY 46",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-778-2222",
            "fax_number": "973-860-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 US HIGHWAY 46",
            "address_2": "SUITE 202",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132451",
            "telephone_number": "973-778-2222",
            "fax_number": "973-860-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070836966",
            "country_code": "US",
            "telephone_number": "908-687-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACKMAN",
        "first_name": "GARY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA64837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069707",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "760000191",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brielle Myers
• MZM Orthopedics LLC
• N Peace MD
• N. Murillo Complete Medical Center, LLC
• Deborah Nachman, D.D.S.
• Faisal Nagarwala, M.D.
• Shan M Nagendra, M.D.
• Rogina Nagy
• Heena A Naik, D.D.S.
• Pal Naik, FNP-C

• Vascular Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.