Active NPI
Kajal Gandhi, NURSE PRACTITIONER
- Family Nurse Practitioner
- Old Bridge, NJ
National Provider Identifier
1144705328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00862900
- Practice address
- 200 Perrine Rd
Old Bridge, NJ 08857-2842 - Phone
- (732) 264-1163
- NPI assigned
- Oct 3, 2018
- Last updated
- Oct 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00862900 | NJ | Primary |
Addresses
Primary practice location
200 Perrine Rd
Old Bridge, NJ 08857-2842
Mailing address
200 Perrine Rd
Old Bridge, NJ 08857-2842
Phone (732) 264-1163
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GK Health, PC | Current | Accepting new patients |
Locations
670 N Beers St
Ste 1
Holmdel, NJ 07733
Phone (732) 226-5552
100 Main St
Keansburg, NJ 07734
Phone (732) 264-1163
200 Perrine Rd
Ste 221
Old Bridge, NJ 08857
Phone (732) 264-1163
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Old Bridge, NJ
- NPI 1578009965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1144705328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PERRINE RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572842",
"telephone_number": "732-264-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PERRINE RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572842",
"telephone_number": "732-264-1163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "KAJAL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2024-10-15",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00862900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
- Fusion Rehabilitative Medicine, LLC
- Future Pharmacy II LLC (Future Pharmacy II)
- Patricia Francesca Fuzzi, MA PHD LPC NCC
- Alexis Gabel, DPT
- Galloping Hill Surgical, LLC (Allcare Medical)
- Ganesha05 LLC (The Wellness Center Pharmacy and Surgical)
- Garden State Gastroenterology,PC
- Garden State Primary Care, LLC
- Wilma Geck, MD
- Arthur Gedal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.