Individual provider Active NPI

Gurpreet Singh Sidhu, M.D.

  • Interventional Cardiology Physician
  • Chester, NJ
National Provider Identifier
1255641163
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA08803300 Issued in NJ
Practice address
415 Rte 24 Ste E
Chester, NJ 07930-2920
Phone
(908) 879-1500
Fax
(908) 879-1515
NPI assigned
Oct 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08803300 NJ
Cardiovascular Disease Physician 207RC0000X 25MA08803300 NJ
Interventional Cardiology Physician 207RI0011X 25MA08803300 NJ Primary

Addresses

Primary practice location

415 Rte 24 Ste E
Chester, NJ 07930-2920

Mailing address

80 Seymour St
S Building 217
Hartford, CT 06102-8000
Phone (860) 972-5020

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
I20111018000331 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2769654771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence C. Antonucci MD LLC Cardiovascular Disease CurrentSince Jul 15, 2016 Accepting new patients
Consensus Medical Group LLC Internal Medicine CurrentSince Sep 30, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 1, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 1, 2023 Accepting new patients
Advanced Cardiology, LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

415 Route 24
Ste E
Chester, NJ 07930
Phone (908) 879-1500

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

63 Beaverbrook Rd
Ste 101
Lincoln Park, NJ 07035
Phone (908) 879-1500

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

21 Perry St
Ste 1
Morristown, NJ 07960
Phone (973) 285-9300

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

Interoperability endpoints

  • Direct secure messaging: gurpreet.sidhu@slpg.direct-sluhn.org

Organizations & group practices 8

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 5

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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1255641163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "address_2": "S BUILDING 217",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RTE 24 STE E",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302920",
            "telephone_number": "908-879-1500",
            "fax_number": "908-879-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURPREET",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08803300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08803300",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08803300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

Verify at the official NPI Registry.