Sanjay Pankaj Gandhi, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00275700 Issued in NJ

Practice address

215 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3351

Phone

(732) 446-7136

Fax

(732) 446-7138

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

94.45

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgandhi2000@asupl-nj.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• A Step Up Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Manalapan, NJ
  • NPI 1821233297
  Medicare reassignment NPD Authorized official
• Imaging Associates PA

  • Diagnostic Radiology Physician
  • Randolph, NJ
  • NPI 1467445940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1124023353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263351",
            "telephone_number": "732-446-7136",
            "fax_number": "732-446-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263351",
            "telephone_number": "732-446-7136",
            "fax_number": "732-446-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SANJAY",
        "middle_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005953",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00275700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052779",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Allyson Gallagher, DMD
• Glenda Susana Gallardo Menendez, LAC
• Galleria Dental Group LLC
• Kerrianne Galvin, LSW
• Janet Gail Gambardella, S.T.
• Emily Garcia
• Garden State Chiropractic Center, LLC
• Garden State Consumer Credit Counseling, Inc.
• Garden State Eyecare Inc.
• Garden State Heart Care PC

• Foot & Ankle Surgery Podiatrist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.