Individual provider Active NPI

Tanmay Pradip Gosalia, D.O., M.P.H., M.A.

  • Internal Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1184064347
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
194267 Issued in NJ
Practice address
9225 John F Kennedy Boulevard
Summit Medical Arts
North Bergen, NJ 07047
Phone
(201) 453-2800
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194267 NJ Primary
Hospitalist Physician 208M00000X 26MB09814100 NJ

Addresses

Primary practice location

9225 John F Kennedy Boulevard
Summit Medical Arts
North Bergen, NJ 07047

Mailing address

9225 John F. Kennedy Blvd
Summit Medical Arts
North Bergen, NJ 07047
Phone (201) 453-2800

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
I20160802002272 NJ Practitioner - Internal Medicine 5991099731 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Summit Medical Arts Associates LLCGroup PAC ID 2466424460, 2 clinicians

Practice addresses (Care Compare)

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

9225 Kennedy Blvd
North Bergen, NJ 07047-5361
Phone (201) 453-2800

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Arts

State licenses

LicenseStateTypeSpecialty
194267NJMDInternal Medicine Physician
26MB09814100NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Arts Associates, LLC Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Holmdel Physician Associates Hospitalist CurrentSince Jun 10, 2016 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Two River Physician Associates Hospitalist CurrentSince Jun 7, 2016 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Institute for Better Breathing PC Past Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
NJ Cardiovascular Institute LLC PastSince Jul 10, 2017 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

9225 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 453-2800

9225 Kennedy Blvd
#F
North Bergen, NJ 07047
Phone (201) 500-9755

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1265 Paterson Plank Rd
Ste 1A
Secaucus, NJ 07094
Phone (201) 453-2800

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1184064347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 JOHN F. KENNEDY BLVD",
            "address_2": "SUMMIT MEDICAL ARTS",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-453-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 JOHN F KENNEDY BOULEVARD",
            "address_2": "SUMMIT MEDICAL ARTS",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-453-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSALIA",
        "first_name": "TANMAY",
        "middle_name": "PRADIP",
        "credential": "D.O., M.P.H., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "194267",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "26MB09814100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.