Active NPI
Gerald Grodstein, MD
- Nephrology Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA03799200
- Practice address
- 177 N Dean St
Suite 207
Englewood, NJ 07631-2533 - Phone
- (201) 567-0446
- NPI assigned
- Nov 7, 2005
- Last updated
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA03799200 | NJ | Primary |
Addresses
Primary practice location
177 N Dean St
Suite 207
Englewood, NJ 07631-2533
Mailing address
177 N Dean St
Suite 207
Englewood, NJ 07631-2533
Phone (201) 567-0446
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP293 | Other | NJ | OXFORD HEALTH |
| 0K3260 | Other | NJ | HEALTH NET |
| 412640 | Other | NJ | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of New York Downstate Medical Center, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
177 N Dean St
Englewood, NJ 07631-2533
Phone (201) 569-4901
Hospital & facility affiliations
- FMC Fairview
- FMC Englewood
- FKC Tenafly
- Visiting Nurse Association of Englewood, Inc
- Amedisys Home Health
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients |
Locations
177 N Dean St
Englewood, NJ 07631
Phone (201) 510-3777
177 N Dean St
Ste 207
Englewood, NJ 07631
Phone (201) 401-0374
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Fairview
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fairview, NJ
- NPI 1174775050
Dialysis facility
-
dba Fresenius Kidney Care Tenafly
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tenafly, NJ
- NPI 1255919973
Dialysis facility
-
dba Englewood Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Englewood, NJ
- NPI 1124040019
Dialysis facility
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- Home Health Agency
- Englewood, NJ
- NPI 1376528224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1245211440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"address_2": "SUITE 207",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-567-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"address_2": "SUITE 207",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-567-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRODSTEIN",
"first_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA03799200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "BP293",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0K3260",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "412640",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.