Active NPI
Jaime N Gildengers, MD FACS
- Surgery Physician
- West New York, NJ
National Provider Identifier
1699761924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA02774200
- Practice address
- 313 60TH St
West New York, NJ 07093-5412 - Phone
- (201) 854-0406
- Fax
- (201) 854-8437
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA02774200 | NJ | Primary |
Addresses
Primary practice location
313 60TH St
West New York, NJ 07093-5412
Mailing address
313 60TH St
West New York, NJ 07093-5412
Phone (201) 854-0406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2932407 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1699761924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 60TH ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935412",
"telephone_number": "201-854-0406",
"fax_number": "201-854-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 60TH ST",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070935412",
"telephone_number": "201-854-0406",
"fax_number": "201-854-8437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDENGERS",
"first_name": "JAIME",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA02774200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2932407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.