Active NPI
Gunjan Garg, MD
- Diagnostic Radiology Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 67619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Nuclear Medicine | Current | 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
- 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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.