Individual provider Active NPI

Priyanka Gajjar

  • Primary Care Nurse Practitioner
  • Kearny, NJ
National Provider Identifier
1669915906
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00685400 Issued in NJ
Practice address
837 Kearny Ave
Kearny, NJ 07032-3241
Phone
(201) 772-5211
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00685400 NJ Primary

Addresses

Primary practice location

837 Kearny Ave
Kearny, NJ 07032-3241

Mailing address

837 Kearny Ave
Kearny, NJ 07032-3241
Phone (201) 772-5211

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223000030 NJ Practitioner - Nurse Practitioner 3577847300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emad Jacob, MD PCGroup PAC ID 8820261662, 4 clinicians

Practice addresses (Care Compare)

837 Kearny Ave
Kearny, NJ 07032-3241
Phone (201) 772-5211

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
65.13

Merit-based Incentive Payment System (MIPS)

Final score
98.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Tzeng MD LLC CurrentSince Feb 3, 2020 Accepting new patients
Yes Wellness PA CurrentSince Jan 30, 2024 Accepting new patients
Emad Jacob, MD PC CurrentSince Dec 21, 2016 Accepting new patients

Locations

40 Watchung Way
Berkeley Hts, NJ 07922
Phone (908) 771-5700

50 Harrison St
Ste 212F
Hoboken, NJ 07030
Phone (201) 484-8950

714 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

837 Kearny Ave
Kearny, NJ 07032
Phone (201) 772-5211

38 Freneau Ave
Matawan, NJ 07747
Phone (732) 765-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1669915906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323241",
            "telephone_number": "201-772-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323241",
            "telephone_number": "201-772-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "PRIYANKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00685400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.