Individual provider Active NPI

Gunjan Garg, MD

  • Diagnostic Radiology Physician
  • Bridgeport, CT
National Provider Identifier
1669869053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
67619 Issued in CT
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 337-8518
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 67619 CT
Body Imaging Physician 2085B0100X 67619 CT
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 67619 CT Primary

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

267 Grant Street
Bridgeport, CT 06610
Phone (203) 337-8518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220926003401 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5496099509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 17, 2022 Accepting new patients
Montefiore Medical Center Nuclear Medicine CurrentSince Jun 17, 2022 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

1500 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8410

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

3316 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5400

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

305 E 161st St
Bronx, NY 10451
Phone (718) 410-4711

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

111 E 210th St
Bronx, NY 10467

4141 Carpenter Ave
Bronx, NY 10466
Phone (718) 920-9020

555 Taxter Rd
Elmsford, NY 10523
Phone (718) 920-2587

385 9th Ave
Ste 30
New York, NY 10001

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ggarg@montefioredirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669869053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-337-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-337-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "GUNJAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CT",
            "license": "67619",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CT",
            "license": "67619",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "67619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.