Active NPI
Linda D. Gillam, MD
- Cardiovascular Disease Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA08912700
- Practice address
- 100 Madison Avenue
Morristown, NJ 07960 - Phone
- (973) 971-5597
- Fax
- (973) 290-7145
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 027172 | CT | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA08912700 | NJ | Primary |
Addresses
Primary practice location
100 Madison Avenue
Morristown, NJ 07960
Mailing address
465 South Street
Suite 103
Morristown, NJ 07960
Phone (973) 971-7184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6056504 | 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
95 Madison Ave
Suite 204
Morristown, NJ 07960-6390
Phone (973) 971-7440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027172 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Health Consultants, P.a. | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Ahs Hospital Corp | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
95 Madison Ave
Ste B07
Morristown, NJ 07960
Phone (973) 971-7007
100 Madison Ave
#5
Morristown, NJ 07960
Phone (973) 971-4261
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
100 Madison Ave
Ste C
Morristown, NJ 07960
Phone (973) 267-9543
111 Madison Ave
Ste 301
Morristown, NJ 07960
Phone (973) 267-1197
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- lgillam10845@direct.ahsys.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
- Legal Medicine
- Morristown, NJ
- NPI 1437291739
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Clinical Medical Laboratory
- Morristown, NJ
- NPI 1871162834
-
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1457359382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 SOUTH STREET",
"address_2": "SUITE 103",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07960",
"telephone_number": "973-971-7184",
"fax_number": "973-290-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVENUE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07960",
"telephone_number": "973-971-5597",
"fax_number": "973-290-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLAM",
"first_name": "LINDA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "027172",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08912700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6056504",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.