Individual provider Active NPI

Thimma S Gandhi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Paramus, NJ
National Provider Identifier
1487771325
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA03963200 Issued in NJ
Practice address
30 W Century Rd
Suite 255
Paramus, NJ 07652-1433
Phone
(201) 444-4363
Fax
(201) 444-6590
NPI assigned
Mar 24, 2007
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA03963200 NJ Primary

Addresses

Primary practice location

30 W Century Rd
Suite 255
Paramus, NJ 07652-1433

Mailing address

7000 Kennedy Blvd E Apt 48D
Guttenberg, NJ 07093-4863
Phone (201) 861-2918

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
I20111214000189 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 0840465241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03963200NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Associates PA Endocrinology, Diabetes & Metabolism CurrentSince Oct 21, 2011 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900

30 W Century Rd
Ste 255
Paramus, NJ 07652
Phone (201) 262-6100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1487771325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E APT 48D",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934863",
            "telephone_number": "201-861-2918",
            "fax_number": "201-861-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "SUITE 255",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-444-4363",
            "fax_number": "201-444-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "THIMMA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA03963200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.