Individual provider Active NPI

Robert M. Gajdos, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1649347964
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53315 Issued in NJ
Practice address
1005 Clifton Ave
Clifton, NJ 07013-3520
Phone
(973) 777-2005
Fax
(973) 777-7758
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 53315 NJ Primary

Addresses

Primary practice location

1005 Clifton Ave
Clifton, NJ 07013-3520

Mailing address

1005 Clifton Ave
Clifton, NJ 07013-3520
Phone (973) 777-2005

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
I20050928000110 NJ Practitioner - Internal Medicine 9830124940 Reassigns benefits to 2 organizations
Practice locations: Clifton, NJ; Montclair, NJ; Passaic, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 102
Clifton, NJ 07013-3517
Phone (973) 777-2005

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Amedisys Hospice Hospice, Hackensack, NJ, CCN 311510
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53315NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
SMGH Physician Practice Management, LLC Internal Medicine CurrentSince Jun 19, 2016 Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

1033 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 777-2005

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

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 9

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1649347964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133520",
            "telephone_number": "973-777-2005",
            "fax_number": "973-777-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133520",
            "telephone_number": "973-777-2005",
            "fax_number": "973-777-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDOS",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "53315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.