Individual provider Active NPI

Nabila A Gandhi, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1669452553
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71713 Issued in NJ
Practice address
35-37 Progress St
Suite A3
Edison, NJ 08820-1179
Phone
(908) 755-9797
Fax
(908) 668-4845
NPI assigned
Jan 18, 2006
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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 MA71713 NJ Primary

Addresses

Primary practice location

35-37 Progress St
Suite A3
Edison, NJ 08820-1179

Mailing address

35-37 Progress St
Suite A3
Edison, NJ 08820-1179
Phone (908) 755-9797

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
I20100113000582 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9830230838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Jeresy NephorologyGroup PAC ID 7911997176, 2 clinicians
North Edison Family Practice Group LLCGroup PAC ID 1254386477, 2 clinicians

Practice addresses (Care Compare)

35 -37 Progress St
Edison, NJ 08820-1179
Phone (908) 755-9797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA71713NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jeresy Nephorology CurrentSince Jun 15, 2019 Accepting new patients
North Edison Family Practice Group, LLC Internal Medicine CurrentSince Aug 5, 2009 Accepting new patients
Hudson MD Group Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

35-37 Progress St
Ste A3
Edison, NJ 08820
Phone (908) 458-3928

37 Progress St
Edison, NJ 08820
Phone (732) 343-7661

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1669452553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "address_2": "SUITE A3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-755-9797",
            "fax_number": "908-668-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "address_2": "SUITE A3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-755-9797",
            "fax_number": "908-668-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "NABILA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.