Active NPI
Carol L Gagliardi, MD
- Reproductive Endocrinology Physician
- Jersey City, NJ
National Provider Identifier
1184633570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MA48434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010048434NJ01 | Other | ANTHEM HEALTH INSURANCE C | |
| 223363012 | Other | GALAXY HEALTH NETWORK INC | |
| 223363012 | Other | INTERGROUP SERVICES | |
| 5351209 | Other | AETNA TRADITIONAL | |
| 83761 | Other | AMERIGROUP AMERICAID | |
| 037931500 | Other | AMERIHEALTH HMO | |
| 223363012 | Other | HEALTH PAYORS ORGANIZATIO | |
| 429019 | Other | CIGNA | |
| 1025384 | Other | HORIZON NJ HEALTH | |
| 223363012 | Other | HEALTH CARE PAYERS COALIT | |
| 2463407 | Medicaid | NJ | |
| 49498 | Other | GHI | |
| HUL00013200 | Other | AMERICHOICE | |
| 223363012 | Other | FAMILY CHOICE | |
| 223363012 | Other | GREAT WEST HEALTHCARE | |
| 223363012 | Other | BEECHSTREET CORPORATION M | |
| 223363012 | Other | CHN CONSUMER HEALTH NETWO | |
| 223363012 | Other | HORIZON 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F9459 | TX | MD | Obstetrics & Gynecology Physician |
| MA48434 | NJ | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | 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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.