Individual provider Active NPI

Faina Gelman-Nisanov, M.D.

  • Obstetrics & Gynecology Physician
  • Oradell, NJ
National Provider Identifier
1407260334
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
292188 Issued in NY
Practice address
800 Kinderkamack Rd Ste 204S
Oradell, NJ 07649-1534
Phone
(201) 932-2051
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 292188 NY Primary

Addresses

Primary practice location

800 Kinderkamack Rd Ste 204S
Oradell, NJ 07649-1534

Mailing address

800 Kinderkamack Rd Ste 204S
Oradell, NJ 07649-1534
Phone (201) 932-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181101000283 NY Practitioner - Obstetrics/Gynecology 8921351388
I20230113000020 NJ Practitioner - Obstetrics/Gynecology 8921351388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Kinderkamack Rd
204S
Oradell, NJ 07649-1534
Phone (201) 932-2051

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292188NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Gynecology Associates LLC CurrentSince Dec 14, 2022 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jan 6, 2020 Accepting new patients

Locations

800 Kinderkamack Rd
Ste 204S
Oradell, NJ 07649
Phone (201) 932-2051

800 Kinderkamack Rd
#204S
Oradell, NJ 07649
Phone (201) 932-2051

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.

Hospital & facility affiliations 3

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1407260334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 204S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491534",
            "telephone_number": "201-932-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 204S",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491534",
            "telephone_number": "201-932-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN-NISANOV",
        "first_name": "FAINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "292188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.