Individual provider Active NPI

Douglas Gibbens, M.D.

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1447247382
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06225500 Issued in NJ
Practice address
99 Highway 37
Toms River, NJ 08755-6423
Phone
(732) 577-8151
Fax
(732) 577-2064
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06225500 NJ Primary

Addresses

Primary practice location

99 Highway 37
Toms River, NJ 08755-6423

Mailing address

2501 Oregon Pike
Suite 101
Lancaster, PA 17601-4890
Phone (717) 293-3223

Other identifiers 1

IdentifierTypeStateIssuer
P00067630OtherRAILROAD MEDICARE NUMBER

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
I20040510000564 NJ Practitioner - Diagnostic Radiology 9436144292 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Un of California, Irvine, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On-Site Medical Group PCGroup PAC ID 2769715374, 3 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

50 US Hwy 9
Suite 102
Morganville, NJ 07751-1558
Phone (732) 490-5939

99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Imaging Network, LLC CurrentSince Sep 1, 2014 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jul 13, 2013 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Mar 15, 2017 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
On-Site Medical Group PC CurrentSince Apr 3, 2019 Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

50 US Highway 9
Ste 102
Morganville, NJ 07751
Phone (732) 490-5939

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

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

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

201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

766 Shrewsbury Ave
Tinton Falls, NJ 07724
Phone (732) 530-8989

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

766 Shrewsbury Ave
Ste W207
Tinton Falls, NJ 07724
Phone (732) 530-8989

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1198 Route 166
Toms River, NJ 08753
Phone (732) 201-2225

21 Stockton Dr
Toms River, NJ 08755
Phone (207) 883-1285

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 8

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 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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1447247382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-577-8151",
            "fax_number": "732-577-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBENS",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06225500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00067630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.