Individual provider Active NPI

Clifford D Gladstone, M.D.

  • Cardiovascular Disease Physician
  • Somerset, NJ
National Provider Identifier
1548266265
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA62025 Issued in NJ
Practice address
75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002
Phone
(732) 247-7444
Fax
(732) 247-5119
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA62025 NJ Primary
Nuclear Cardiology Physician 207UN0901X 25MA06202500 NJ

Addresses

Primary practice location

75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002
Phone (732) 247-7444

Other identifiers 1

IdentifierTypeStateIssuer
65850001MedicaidNJ

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
I20120111000213 NJ Practitioner - Cardiovascular Disease (Cardiology) 3072780279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Physician EnterpriseGroup PAC ID 5597917633, 71 clinicians

Practice addresses (Care Compare)

75 Veronica Ave
Suite 101
Somerset, NJ 08873-5002
Phone (732) 247-7444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62025NJMDCardiovascular Disease Physician
25MA06202500NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince Mar 1, 2014 Accepting new patients
Cardiology Associates of Somerset County,P.a. Cardiovascular Disease Past Accepting new patients

Locations

111 Union Valley Rd
Ste 201
Monroe Township, NJ 08831
Phone (732) 247-7444

111 Union Valley Rd
Ste 101
Monroe Twp, NJ 08831
Phone (732) 247-7444

75 Veronica Ave
Ste 101
Somerset, NJ 08873
Phone (732) 247-5054

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DICCDA
  • Direct secure messaging: cgladstone14997@epicdirect.rwjbh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1548266265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-247-7444",
            "fax_number": "732-247-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-247-7444",
            "fax_number": "732-247-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSTONE",
        "first_name": "CLIFFORD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA62025",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA06202500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65850001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.