Individual provider Active NPI

Dzhamala Gilmandyar, MD

  • Maternal & Fetal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1609016815
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA09262400 Issued in NJ
Practice address
19 Davis Ave FL 7
Neptune, NJ 07753-4488
Phone
(732) 776-4755
Fax
(732) 776-4754
NPI assigned
Feb 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 254186 NY
Maternal & Fetal Medicine Physician 207VM0101X 25MA09262400 NJ Primary

Addresses

Primary practice location

19 Davis Ave FL 7
Neptune, NJ 07753-4488

Mailing address

19 Davis Ave FL 7
Neptune, NJ 07753-4488
Phone (732) 776-4755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101111000534 NY Practitioner - Obstetrics/Gynecology 0345435764 Reassigns benefits to 5 organizations
I20130917000589 NJ Practitioner - Obstetrics/Gynecology 0345435764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1 Dakota Dr
New Hyde Park, NY 11042-1135
Phone (516) 608-6800

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254186NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Oct 29, 2015 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2015 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highlands Womens Health Obstetrics & Gynecology CurrentSince Jun 1, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 29, 2015 Accepting new patients
University of Rochester CurrentSince Mar 6, 2011 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Obstetrics & Gynecology CurrentSince Aug 19, 2017 Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
University of Rochester CurrentSince Mar 6, 2011 Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2015 Accepting new patients
Northwell Health Current Accepting new patients
University of Rochester Current Accepting new patients

Locations

1944 State Route 33
Ste 204
Neptune, NJ 07753
Phone (732) 776-4755

19 Davis Ave
Fl 7
Neptune, NJ 07753
Phone (732) 776-3797

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

601 Elmwood Ave
#320
Rochester, NY 14642

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: dgilmandyar66836@northwell.direct-ci.com
  • Direct secure messaging: dzhamalagilmandyar@northwell.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1609016815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 7",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-776-4755",
            "fax_number": "732-776-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 7",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-776-4755",
            "fax_number": "732-776-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMANDYAR",
        "first_name": "DZHAMALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "254186",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA09262400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.