Individual provider Active NPI

Gaurang Patel, M.D.

  • Pulmonary Disease Physician
  • Denville, NJ
National Provider Identifier
1538123542
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA07928600 Issued in NJ
Practice address
16 Pocono Rd 217
Denville, NJ 07834-2907
Phone
(800) 750-8616
Fax
(845) 362-8474
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA07928600 NJ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA07928600 NJ

Addresses

Primary practice location

16 Pocono Rd 217
Denville, NJ 07834-2907

Mailing address

26 Firemans Memorial Drive
Suite 115
Pomona, NY 10970
Phone (800) 750-8616

Other identifiers 2

IdentifierTypeStateIssuer
0111619MedicaidNJ
25MA07434900OtherMEDICAL LICENSE

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
I20060817000007 NJ Practitioner - Internal Medicine 4880697671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trudoc LLCGroup PAC ID 3678989449, 6 clinicians

Practice addresses (Care Compare)

1187 Main Ave
Suite 1F
Clifton, NJ 07011-2252
Phone (973) 928-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07928600NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trudoc LLC Critical Care Medicine CurrentSince Apr 1, 2022 Accepting new patients
Ankle & Foot Surgery, PA Past Accepting new patients
Evergreen Physicians of North Jersey, PC Internal Medicine PastSince Dec 8, 2006 Accepting new patients

Locations

1187 Main Ave
Ste 1F
Clifton, NJ 07011
Phone (973) 546-6161

16 Pocono Rd
Ste 217
Denville, NJ 07834
Phone (973) 625-5383

94 Diamond Spring Rd
Ste 2
Denville, NJ 07834
Phone (973) 625-1212

Interoperability endpoints

  • Direct secure messaging: gpatel548881@direct.ahsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGCD

Organizations & group practices 3

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 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1538123542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMANS MEMORIAL DRIVE",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD 217",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342907",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GAURANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07928600",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA07928600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111619",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA07434900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.