Individual provider Active NPI

Gayathri Sastry, MD

  • Psychiatry Physician
  • Ridgewood, NJ
National Provider Identifier
1659459949
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA05646100 Issued in NJ
Practice address
257 E Ridgewood Avenue
Suite 200
Ridgewood, NJ 07450-4478
Phone
(201) 445-2200
Fax
(201) 445-2204
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA05646100 NJ Primary

Addresses

Primary practice location

257 E Ridgewood Avenue
Suite 200
Ridgewood, NJ 07450-4478

Mailing address

257 E Ridgewood Ave
Suite 200
Ridgewood, NJ 07450-4478
Phone (201) 445-2200

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
I20070430000551 NJ Practitioner - PsychiatryPractitioner - Neuropsychiatry 0143326660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Oct 29, 2017 Accepting new patients
Atlanticare Health Services Inc. CurrentSince Oct 29, 2017 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Feb 8, 2022 Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

1610 Route 88 W
Brick, NJ 08724
Phone (732) 295-6543

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

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

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1659459949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 E RIDGEWOOD AVE",
            "address_2": "SUITE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504478",
            "telephone_number": "201-445-2200",
            "fax_number": "201-445-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E RIDGEWOOD AVENUE",
            "address_2": "SUITE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504478",
            "telephone_number": "201-445-2200",
            "fax_number": "201-445-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRY",
        "first_name": "GAYATHRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05646100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.