Individual provider Active NPI

Gina Grace Puglisi, MD

  • Internal Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1366472011
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233426 Issued in NY
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

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02658102MedicaidNY
4541103MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, LA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050829001066 NY Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 3375574312 Reassigns benefits to 3 organizations
I20060503000237 NJ Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency 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 MedicineAlso: Emergency Medicine, Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

31 Boonton Tpke
Lincoln Park, NJ 07035-1703
Phone (848) 308-4603

Hospital & facility affiliations

  • Delaware Valley Hospital, Inc Hospital, Walton, NY, CCN 331312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165061FLMDInternal Medicine Physician
25MA05582200NJMDInternal Medicine Physician
021939NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mylaurel Medical Group la, LLC CurrentSince Dec 1, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Mar 1, 2025 Accepting new patients
Mylaurel Medical Group Ny, PLLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Aug 4, 2021 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Mar 1, 2025 Accepting new patients
Fishkill Pharmacy LLC PastSince Apr 30, 2011 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Mar 1, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.