Individual provider Active NPI

Gabriela Ross, MD

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1154814135
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11557100 Issued in NJ
Practice address
20 Prospect Ave Ste 705
Hackensack, NJ 07601-1963
Phone
(201) 880-4949
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA11557100 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 705
Hackensack, NJ 07601-1963

Mailing address

20 Prospect Ave Ste 705
Hackensack, NJ 07601-1963
Phone (201) 880-4949

Other practice location 1

150 Bergen St
Newark, NJ 07103-2496
Phone (732) 586-4928

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
I20220827000383 NJ Practitioner - Obstetrics/Gynecology 2769737113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
209 Thomas Golin MD
Paramus, NJ 07652-2356
Phone (201) 444-5744

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

2 Sears Dr Unit
104 Comprehensive Womens Care of Paramus
Paramus, NJ 07652-3525
Phone (201) 262-0075

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maria R Keanchong MD PA Obstetrics & Gynecology CurrentSince Aug 28, 2022 Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785

20 Prospect Ave
Ste 705
Hackensack, NJ 07601
Phone (201) 488-0409

80 E Route 4
Paramus, NJ 07652
Phone (201) 406-0625

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gabriela.ross.1@27010.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1154814135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 705",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "201-880-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 705",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "201-880-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032496",
            "country_code": "US",
            "telephone_number": "732-586-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11557100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.