Active NPI
Nancy J Kruvant-Gornish, MD
- Infectious Disease Physician
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25MA55193
- Practice address
- 19 Davis Ave FL 6
Neptune, NJ 07753-4488 - Phone
- (732) 897-3995
- Fax
- (732) 897-3997
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25MA55193 | NJ | Primary |
Addresses
Primary practice location
19 Davis Ave FL 6
Neptune, NJ 07753-4488
Mailing address
19 Davis Ave FL 6
Neptune, NJ 07753-4488
Phone (732) 897-3995
Other names 1
- Nancy J Kruvant-Gornish
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132
19 Davis Ave
Neptune, NJ 07753-4488
30 Prospect Ave
Hackensack, NJ 07601-1915
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA55193 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Infectious Disease | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
19 Davis Ave
Fl 6
Neptune, NJ 07753
Phone (732) 897-3990
2240 State Route 33
Ste Aim
Neptune, NJ 07753
Phone (732) 897-3990
1200 Jumping Brook Rd
Bldg 5
Neptune, NJ 07753
Phone (732) 643-4400
2240 State Route 33
Neptune City, NJ 07753
Phone (732) 897-3980
1828 W Lake Ave
Neptune City, NJ 07753
Phone (732) 869-5700
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- nancy.gornish@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Infectious Disease
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Psychologist
- Red Bank, NJ
- NPI 1609593722
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1669441465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 6",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-897-3995",
"fax_number": "732-897-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 6",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-897-3995",
"fax_number": "732-897-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUVANT-GORNISH",
"first_name": "NANCY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA55193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "KRUVANT-GORNISH",
"middle_name": "J",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.