Active NPI
Michael Andrew Gistrak, MD
- Specialist
- Rahway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6857108 | Medicaid | NJ |
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
Enrollment records 1
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
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 100
- Quality
- 60
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06367700 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. I. Diagnostics, LLC | Specialist | Current | Accepting new patients |
| Gastrointestinal Medical Experts, LLC | Current | Accepting new patients | |
| Heart & Vascular Associates of Northern Jersey, P.a. | Specialist | Current | Accepting new patients |
| Robert I Greenblatt MD PA | Current | Accepting new patients | |
| Peter Caride MD LLC | Current | Accepting new patients | |
| Milliennieum Gastroenterology Inc | Current | Accepting new patients | |
| Rahway Pathology, P.a. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Gastrocare LLC | Current | Accepting new patients | |
| Barnabas Health Multispecialty | Current | Accepting new patients | |
| Dr. Ricardo E. Rodriguez, M.D, P.a. | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Specialist | Current | Accepting new patients |
| Consensus Medical Group LLC | Past | 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 | Past | 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
- 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.
-
- Gastroenterology Physician
- West Orange, NJ
- NPI 1538597745
-
dba Gme, LLC
- Gastroenterology Physician
- Clark, NJ
- NPI 1942263777
-
- Specialist
- Fair Lawn, NJ
- NPI 1699889980
-
- Gastroenterology Physician
- Prospect Park, NJ
- NPI 1326291162
-
- Anatomic Pathology & Clinical Pathology Physician
- Rahway, NJ
- NPI 1467534495
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Gastroenterology Physician
- Roselle Park, NJ
- NPI 1477728582
-
- Gastroenterology Physician
- Mountainside, NJ
- NPI 1497873244
-
- Gastroenterology Physician
- North Bergen, NJ
- NPI 1932219573
-
- Gastroenterology Physician
- Union, NJ
- NPI 1902093560
-
- Gastroenterology Physician
- Summit, NJ
- NPI 1649270976
-
- Gastroenterology Physician
- Millburn, NJ
- NPI 1730150632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rahway, NJ
- NPI 1861486870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.