Individual provider Active NPI

Silvana Gaudino, MD

  • Gynecology Physician
  • Montclair, NJ
National Provider Identifier
1467520239
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA04978100 Issued in NJ
Practice address
127 Pine St Ste 10
Montclair, NJ 07042-4869
Phone
(973) 707-2122
Fax
(973) 655-9559
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA04978100 NJ Primary

Addresses

Primary practice location

127 Pine St Ste 10
Montclair, NJ 07042-4869

Mailing address

33 North Fullerton Avenue
Montclair, NJ 07042-3412
Phone (973) 744-2226

Other identifiers 1

IdentifierTypeStateIssuer
3089606MedicaidNJ

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
I20110411000487 NJ Practitioner - Obstetrics/Gynecology 1254515596 Reassigns benefits to 1 organization
Practice locations: Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

127 Pine St
Suite 10 11
Montclair, NJ 07042-4855
Phone (973) 707-2122

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

127 Pine St
Ste 1011
Montclair, NJ 07042
Phone (973) 707-2122

127 Pine St
Ste 10
Montclair, NJ 07042
Phone (973) 655-9555

Interoperability endpoints

  • Direct secure messaging: silvana.gaudino.1@18614.direct.athenahealth.com
  • Direct secure messaging: sgaudino188774@ahs.direct-ci.com

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1467520239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NORTH FULLERTON AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423412",
            "telephone_number": "973-744-2226",
            "fax_number": "973-509-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST STE 10",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424869",
            "telephone_number": "973-707-2122",
            "fax_number": "973-655-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDINO",
        "first_name": "SILVANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA04978100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.