Individual provider Active NPI

Gargi Dhar, MD

  • Family Medicine Physician
  • Asbury Park, NJ
National Provider Identifier
1639365729
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08731800 Issued in NJ
Practice address
1301 Main St
Asbury Park, NJ 07712-5359
Phone
(732) 774-6333
NPI assigned
Sep 21, 2007
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08731800 NJ Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MA08731800 NJ

Addresses

Primary practice location

1301 Main St
Asbury Park, NJ 07712-5359

Mailing address

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000104 NJ Practitioner - Family Practice 1254518426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08731800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Feb 22, 2011 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Feb 22, 2011 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

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, 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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1639365729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333",
            "fax_number": "732-774-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAR",
        "first_name": "GARGI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08731800",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08731800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.