Active NPI
Gina Grace Puglisi, MD
- Internal Medicine Physician
- Parsippany, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233426
- Practice address
- 3 Century Dr
Parsippany, NJ 07054-4610 - Phone
- (973) 740-0607
- NPI assigned
- Jul 4, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233426 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 165061 | FL | |
| Internal Medicine Physician | 207R00000X | 336863 | LA | |
| Internal Medicine Physician | 207R00000X | 25MA05582200 | NJ |
Addresses
Primary practice location
3 Century Dr
Parsippany, NJ 07054-4610
Mailing address
3 Century Dr
Parsippany, NJ 07054-4610
Phone (973) 740-0607
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02658102 | Medicaid | NY | |
| 4541103 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, LA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050829001066 | NY | Practitioner - Internal Medicine | 3375574312 | Reassigns benefits to 3 organizations |
| I20060503000237 | NJ | Practitioner - Internal Medicine | 3375574312 | Reassigns benefits to 3 organizations |
| I20240106000714 | LA | Practitioner - Internal Medicine | 3375574312 | Reassigns benefits to 1 organization |
| I20240524001980 | FL | Practitioner - Internal Medicine | 3375574312 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Urgent Care PC
Practice addresses (Care Compare)
31 Boonton Tpke
Lincoln Park, NJ 07035-1703
Phone (848) 308-4603
Hospital & facility affiliations
- Delaware Valley Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165061 | FL | MD | Internal Medicine Physician |
| 25MA05582200 | NJ | MD | Internal Medicine Physician |
| 021939 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mylaurel Medical Group la, LLC | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Excel Urgent Care of NJ LLC | Current | Accepting new patients | |
| Mylaurel Medical Group Ny, PLLC | Emergency Medicine | Current | Accepting new patients |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Fishkill Pharmacy LLC | Past | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
824 Elmwood Park Blvd
Ste 135
New Orleans, LA 70123
Phone (504) 266-2576
31 Boonton Tpke
Lincoln Park, NJ 07035
Phone (848) 308-4603
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775
949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
885 3rd Ave
Fl 29
New York, NY 10022
Phone (866) 603-7803
1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700
2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197
2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197
Organizations & group practices 11
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.
-
- General Practice Physician
- New York, NY
- NPI 1477214237
Emergency Medicine, NY
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Nyack, NY
- NPI 1063717791
NY
-
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1043457955
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- Community/Retail Pharmacy
- Fishkill, NY
- NPI 1427308188
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
Hospital & facility affiliations 1
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": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1366472011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CENTURY DR",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544610",
"telephone_number": "973-740-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CENTURY DR",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544610",
"telephone_number": "973-740-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLISI",
"first_name": "GINA",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "233426",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "165061",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "336863",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05582200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02658102",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4541103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Prosthodent P.C.
- Anil Puligilla, RPH
- Yamilee Pulla Maxi
- Chantell Puryear
- Emilio A Puzo, DPM
- Charmaine Quinn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.