Individual provider Active NPI

Frank Gingerelli, MD

  • Radiation Oncology Physician
  • Westwood, NJ
National Provider Identifier
1285704387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA02215600 Issued in NJ
Practice address
250 Old Hook Rd
Westwood, NJ 07675-3123
Phone
(201) 358-3666
Fax
(201) 358-1140
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA02215600 NJ Primary

Addresses

Primary practice location

250 Old Hook Rd
Westwood, NJ 07675-3123

Mailing address

645 Westwood Ave
2ND Floor
Rivervale, NJ 07675-6238
Phone (201) 325-6774

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
I20041222000235 NJ Practitioner - Diagnostic Radiology 2668386293 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02215600NJMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - St. Mary'S Passaic LLC CurrentSince Jul 31, 2014 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic, LLC CurrentSince Jul 31, 2014 Accepting new patients
Radiation Therapy Associates LLC Radiation Oncology PastSince Oct 1, 2004 Accepting new patients
Biopath Diagnostic Associates, PC Past Accepting new patients
Relief & Solutions Counseling Past Accepting new patients

Locations

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285704387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WESTWOOD AVE",
            "address_2": "2ND FLOOR",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756238",
            "telephone_number": "201-325-6774",
            "fax_number": "201-358-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-358-3666",
            "fax_number": "201-358-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERELLI",
        "first_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA02215600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.