Individual provider Active NPI

Carol L Gagliardi, MD

  • Reproductive Endocrinology Physician
  • Jersey City, NJ
National Provider Identifier
1184633570
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MA48434 Issued in NJ
Practice address
377 Jersey Ave
Suite 220
Jersey City, NJ 07302-4393
Phone
(201) 309-2380
Fax
(201) 309-2381
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA48434 NJ
Obstetrics & Gynecology Physician 207V00000X F9459 TX
Reproductive Endocrinology Physician 207VE0102X MA48434 NJ Primary

Addresses

Primary practice location

377 Jersey Ave
Suite 220
Jersey City, NJ 07302-4393

Mailing address

355 Grand Street
4 East
Jersey City, NJ 07302
Phone (201) 915-2466

Other identifiers 18

IdentifierTypeStateIssuer
010048434NJ01OtherANTHEM HEALTH INSURANCE C
223363012OtherGALAXY HEALTH NETWORK INC
223363012OtherINTERGROUP SERVICES
5351209OtherAETNA TRADITIONAL
83761OtherAMERIGROUP AMERICAID
037931500OtherAMERIHEALTH HMO
223363012OtherHEALTH PAYORS ORGANIZATIO
429019OtherCIGNA
1025384OtherHORIZON NJ HEALTH
223363012OtherHEALTH CARE PAYERS COALIT
2463407MedicaidNJ
49498OtherGHI
HUL00013200OtherAMERICHOICE
223363012OtherFAMILY CHOICE
223363012OtherGREAT WEST HEALTHCARE
223363012OtherBEECHSTREET CORPORATION M
223363012OtherCHN CONSUMER HEALTH NETWO
223363012OtherHORIZON BLUE CROSS BLUE S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000119 NJ Practitioner - Obstetrics/Gynecology 3779757430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9459TXMDObstetrics & Gynecology Physician
MA48434NJMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jul 28, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 28, 2015 Accepting new patients

Locations

377 Jersey Ave
Ste 220
Jersey City, NJ 07302
Phone (201) 309-2380

355 Grand St
#4E
Jersey City, NJ 07302

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1184633570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAND STREET",
            "address_2": "4 EAST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-915-2466",
            "fax_number": "201-915-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 220",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-309-2380",
            "fax_number": "201-309-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA48434",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F9459",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "MA48434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH INSURANCE C",
            "identifier": "010048434NJ01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GALAXY HEALTH NETWORK INC",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP SERVICES",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL",
            "identifier": "5351209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP AMERICAID",
            "identifier": "83761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "037931500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PAYORS ORGANIZATIO",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "429019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1025384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PAYERS COALIT",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2463407",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "49498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "HUL00013200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY CHOICE",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET CORPORATION M",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN CONSUMER HEALTH NETWO",
            "identifier": "223363012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE S",
            "identifier": "223363012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.