Individual provider Active NPI

James D Girardy, MD

  • Physical Medicine & Rehabilitation Physician
  • East Hanover, NJ
National Provider Identifier
1497756936
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07056000 Issued in NJ
Practice address
120 Eagle Rock Ave
Suite 154
East Hanover, NJ 07936-3158
Phone
(201) 407-5145
Fax
(862) 701-6444
NPI assigned
Aug 9, 2005
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA07056000 NJ Primary

Addresses

Primary practice location

120 Eagle Rock Ave
Suite 154
East Hanover, NJ 07936-3158

Mailing address

120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168
Phone (201) 407-5145

Other identifiers 6

IdentifierTypeStateIssuer
2K7635OtherNJHEALTHNET#
7444395OtherNJAETNA PPO #
P3362187OtherNJOXFORD#
8221812OtherNJGHI PPO #
P00132442OtherNJRR MDCR #
2851877000OtherNJAMERIHEALTH #

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
I20040521000030 NJ Practitioner - Physical Medicine and Rehabilitation 1456340397 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07056000NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Specialists of New Jersey, LLC CurrentSince Sep 2, 2003 Accepting new patients
Advanced Rehabilitative Medicine Associates PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

120 Eagle Rock Ave
Ste 154
East Hanover, NJ 07936
Phone (201) 407-5145

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1497756936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-407-5145",
            "fax_number": "862-701-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE",
            "address_2": "SUITE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363158",
            "telephone_number": "201-407-5145",
            "fax_number": "862-701-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARDY",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07056000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "2K7635",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "7444395",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "P3362187",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "8221812",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR #",
            "identifier": "P00132442",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH #",
            "identifier": "2851877000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.