Individual provider Active NPI

Michael Andrew Gistrak, MD

  • Specialist
  • Rahway, NJ
National Provider Identifier
1396793972
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
865 Stone St
Rahway, NJ 07065-2742
Phone
(732) 499-6139
Fax
(732) 499-6122
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 25MA06367700 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA06367700 NJ
Specialist 174400000X Primary

Addresses

Primary practice location

865 Stone St
Rahway, NJ 07065-2742

Mailing address

865 Stone St
Rahway, NJ 07065-2742
Phone (732) 499-6139

Other identifiers 1

IdentifierTypeStateIssuer
6857108MedicaidNJ

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
I20080628000069 NJ Practitioner - Pathology 3870665318 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health MultispecialtyGroup PAC ID 0042441891, 22 clinicians
Heart and Vascular Associates of Northern Jersey, P.a.Group PAC ID 4183610520, 14 clinicians
Milliennieum Gastroenterology IncGroup PAC ID 2860533916, 4 clinicians
Gastrointestinal Medical Experts, LLCGroup PAC ID 6103008883, 5 clinicians
Rahway Pathology, P.a.Group PAC ID 8729126784, 4 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 217
West Orange, NJ 07052-1023
Phone (973) 731-4600

22 -02 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

397 Haledon Ave
Suite 103
Haledon, NJ 07508-1551
Phone (973) 782-4871

727 Raritan Rd
Suite 101
Clark, NJ 07066-2241
Phone (732) 499-8000

865 Stone St
Rahway, NJ 07065-2742
Phone (732) 499-6139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
60
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06367700NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G. I. Diagnostics, LLC Specialist CurrentSince Mar 16, 2016 Accepting new patients
Gastrointestinal Medical Experts, LLC CurrentSince Apr 20, 2011 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. Specialist CurrentSince Feb 1, 2025 Accepting new patients
Robert I Greenblatt MD PA CurrentSince Jan 29, 2012 Accepting new patients
Peter Caride MD LLC CurrentSince Oct 11, 2011 Accepting new patients
Milliennieum Gastroenterology Inc CurrentSince Dec 1, 2017 Accepting new patients
Rahway Pathology, P.a. Anatomic Pathology & Clinical Pathology CurrentSince May 2, 1996 Accepting new patients
Gastrocare LLC CurrentSince May 1, 2013 Accepting new patients
Barnabas Health Multispecialty CurrentSince Apr 15, 2023 Accepting new patients
Dr. Ricardo E. Rodriguez, M.D, P.a. CurrentSince Dec 9, 2009 Accepting new patients
Barnabas Health Medical Group, PC Specialist CurrentSince Sep 5, 2024 Accepting new patients
Consensus Medical Group LLC PastSince Jan 19, 2020 Accepting new patients
RF Ledon M.D. P.C. Past Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Allied Digestive Health, LLC Anatomic Pathology PastSince Jan 1, 2015 Accepting new patients

Locations

999 Raritan Rd
Clark, NJ 07066
Phone (732) 381-6118

727 Raritan Rd
Ste 101
Clark, NJ 07066
Phone (732) 499-8000

240 Williamson St
Ste 401
Elizabeth, NJ 07202
Phone (908) 282-0500

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

397 Haledon Ave
Ste 103
Haledon, NJ 07508
Phone (973) 423-9001

1700 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 241-8900

515 N Wood Ave
Ste 202A
Linden, NJ 07036
Phone (908) 486-8080

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

571 Central Ave
Ste 112
New Providnce, NJ 07974
Phone (908) 464-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

9226 Kennedy Blvd
Ste A
North Bergen, NJ 07047
Phone (201) 869-9500

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

160 Haledon Ave
Prospect Park, NJ 07508
Phone (973) 782-4872

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

2801 Morris Ave
Union, NJ 07083
Phone (908) 851-0455

2801 Morris Ave
Ste B
Union, NJ 07083
Phone (908) 851-0455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

101 Old Short Hills Rd
Ste 217
West Orange, NJ 07052
Phone (973) 731-4600

1225 McBride Ave
Ste 222
Woodland Park, NJ 07424
Phone (973) 852-1353

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1396793972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-499-6139",
            "fax_number": "732-499-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-499-6139",
            "fax_number": "732-499-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISTRAK",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MA06367700",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA06367700",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6857108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.