Active NPI
Paul Joseph Gaglio Sr., MD
- Transplant Hepatology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- License
- 25MA05421700
- Practice address
- Doctors Office Center 90 Bergen Street
Suite 4500
Newark, NJ 07631 - Phone
- (973) 972-5252
- Fax
- (212) 305-4343
- NPI assigned
- Jun 7, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 179243 | NY | |
| Hepatology Physician | 207RI0008X | 1792431 | NY | |
| Transplant Hepatology Physician | 207RT0003X | 179243-1 | NY | |
| Transplant Hepatology Physician | 207RT0003X | 25MA05421700 | NJ | Primary |
Addresses
Primary practice location
Doctors Office Center 90 Bergen Street
Suite 4500
Newark, NJ 07631
Mailing address
555 Cumberland St PH 14
Englewood, NJ 07631-4705
Phone (917) 575-6509
Other practice location 1
222 Columbia Tpke
Florham Park, NJ 07932-1299
Phone (973) 261-9077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179243 | Other | NY | LICENSE |
| 5512603 | Medicaid | NJ | |
| 02143873 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Rutgers New Jersey Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Paterson St
New Brunswick, NJ 08901-1962
222 Columbia Tpke
Florham Park, NJ 07932-1299
Phone (973) 514-1767
90 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-5004
Hospital & facility affiliations
- The University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179243 | NY | MD | Gastroenterology Physician |
| 1792431 | NY | MD | Hepatology Physician |
| 25MA05421700 | NJ | MD | Transplant Hepatology Physician |
| 179243-1 | NY | MD | Transplant Hepatology Physician |
Practice roles
Locations
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
222 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 261-9077
400 Kelby St
Ste 11
Fort Lee, NJ 07024
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
90 Bergen St
Ofc Ctr
Newark, NJ 07103
Phone (973) 972-2500
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
111 E 210th St
Bronx, NY 10467
622 W 168th St
Fl 14
New York, NY 10032
Phone (212) 305-6788
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
635 W 165th St
New York, NY 10032
Phone (212) 305-3039
622 W 168th St
#14C
New York, NY 10032
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Interoperability endpoints
- paul.gaglio@direct.hackensackmeridian.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 20
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ridgewood, NJ
- NPI 1144459991
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Surgery Physician
- New York, NY
- NPI 1265598783
Gastroenterology
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1376583492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 CUMBERLAND ST PH 14",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314705",
"telephone_number": "917-575-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DOCTORS OFFICE CENTER 90 BERGEN STREET",
"address_2": "SUITE 4500",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "973-972-5252",
"fax_number": "212-305-4343"
}
],
"practiceLocations": [
{
"address_1": "222 Columbia Tpke",
"address_purpose": "LOCATION",
"city": "Florham Park",
"state": "NJ",
"postal_code": "079321299",
"country_code": "US",
"telephone_number": "973-261-9077",
"fax_number": "973-593-2060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGLIO",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "179243",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NY",
"license": "1792431",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "NY",
"license": "179243-1",
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "NJ",
"license": "25MA05421700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "179243",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5512603",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02143873",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.