Individual provider Active NPI

Deval P Gadhvi, M.D

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1518119700
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08458400 Issued in NJ
Practice address
200 Hudson Tsreet
Suite 145
Jersey City, NJ 07311
Phone
(201) 360-0782
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08458400 NJ Primary

Addresses

Primary practice location

200 Hudson Tsreet
Suite 145
Jersey City, NJ 07311

Mailing address

200 Hudson St Ste 145
Jersey City, NJ 07311-1220
Phone (201) 360-0782

Other identifiers 1

IdentifierTypeStateIssuer
0180998MedicaidNJ

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
I20081223000357 NJ Practitioner - Internal Medicine 0345302576 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians
NJ Primary Care PCGroup PAC ID 0749585099, 2 clinicians
Newark Medical AssociatesGroup PAC ID 9133583156, 2 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 937-8590

200 Hudson St
Suite 145
Jersey City, NJ 07311-1220
Phone (201) 360-0782

337 Bloomfield Ave
Newark, NJ 07107-2405
Phone (201) 360-0782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08458400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Primary Care PC Internal Medicine CurrentSince May 23, 2015 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Nov 24, 2024 Accepting new patients
Newark Medical Associates Internal Medicine CurrentSince Jun 13, 2023 Accepting new patients
NJ Primary Care PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Zenith Physicians, LLC Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients

Locations

526 Bloomfield Ave
Ste 103
Caldwell, NJ 07006
Phone (973) 226-0559

200 Hudson St
Ste 145
Jersey City, NJ 07311
Phone (201) 360-0782

145 PLZ Two FL 1St
Jersey City, NJ 07311

145 Harbor Dr
Side
Jersey City, NJ 07305

26 Journal Sq
Ste 800
Jersey City, NJ 07306
Phone (551) 292-7675

200 Hudson St
Jersey City, NJ 07311

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

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

337 Bloomfield Ave
Newark, NJ 07107
Phone (201) 360-0782

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

825 Bloomfield Ave
Ste 1
Verona, NJ 07044

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGIDCD
  • Direct secure messaging: dgadhvi191491@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1518119700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HUDSON ST STE 145",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073111220",
            "telephone_number": "201-360-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HUDSON TSREET",
            "address_2": "SUITE 145",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07311",
            "telephone_number": "201-360-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADHVI",
        "first_name": "DEVAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08458400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180998",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.