Individual provider Active NPI

Romee Gandhi, N.P

  • Family Nurse Practitioner
  • Clark, NJ
National Provider Identifier
1407227408
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340061 Issued in NY
Practice address
1075 Central Ave
Clark, NJ 07066-1116
Phone
(732) 574-1399
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340061 NY Primary

Addresses

Primary practice location

1075 Central Ave
Clark, NJ 07066-1116

Mailing address

1075 Central Ave
Clark, NJ 07066-1116
Phone (732) 574-1399

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000039 NJ Practitioner - Nurse Practitioner 9234439126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

469 Morris Ave
Suite 2
Elizabeth, NJ 07208-2904
Phone (908) 512-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology LLC CurrentSince Oct 18, 2020 Accepting new patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients

Locations

1030 Saint Georges Ave
Ste 202
Avenel, NJ 07001
Phone (732) 634-5155

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

3 State Route 27
Ste 305
Edison, NJ 08820
Phone (732) 549-2448

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

469 Morris Ave
Ste 2
Elizabeth, NJ 07208
Phone (908) 351-6060

622 Boulevard
Kenilworth, NJ 07033
Phone (908) 241-3181

3071 E Chestnut Ave
Ste D1
Vineland, NJ 08361
Phone (856) 691-1737

40 Stirling Rd
Ste 203
Watchung, NJ 07069
Phone (908) 753-4144

Interoperability endpoints

  • Direct secure messaging: romee.gandhi@metroderm.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1407227408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661116",
            "telephone_number": "732-574-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661116",
            "telephone_number": "732-574-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ROMEE",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.