NPIMap

Individual provider Active NPI

Gaurang Ravaji Brahmbhatt, M.D.

  • Family Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1225204266
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07706800 Issued in NJ
Practice address
609 Washington St
Hoboken, NJ 07030-4907
Phone
(201) 706-8490
Fax
(201) 706-8491
NPI assigned
Apr 30, 2008
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07706800 NJ Primary

Addresses

Primary practice location

609 Washington St
Hoboken, NJ 07030-4907

Mailing address

609 Washington St
Hoboken, NJ 07030-4907
Phone (201) 706-8490

Other identifiers 1

IdentifierTypeStateIssuer
027456MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000131 NJ Practitioner - Family Practice 8527234384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

714 10TH St
Secaucus, NJ 07094-2921
Phone 20186333460000

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07706800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A.G. Dikengil, MD, PA Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
A.G.Dikengil MD PA Current Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Jan 1, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Riverside Medical Group Past Accepting new patients
Advanced Laparoscopic Associates Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700

609 Washington St
#1
Hoboken, NJ 07030
Phone (201) 706-8488

200 Main St
Ridgefield Park, NJ 07660
Phone (201) 863-3346

38 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094
Phone (201) 864-6868

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: gbrahmbhatt75590@direct.optum.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1225204266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304907",
            "telephone_number": "201-706-8490",
            "fax_number": "201-706-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304907",
            "telephone_number": "201-706-8490",
            "fax_number": "201-706-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "GAURANG",
        "middle_name": "RAVAJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07706800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027456",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.