Gurjeet Gulati, MD
Individual provider Active NPI Psychiatry Physician · Newcity, NY
NPI 1730289679 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1730289679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 198601 (NY)
- Practice address
- 33 Germonds Road
Newcity, NY 10956-3555 - Phone
- (845) 624-2748
- Fax
- (845) 624-2747
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Charity Health System Medical Group, P.C.
Practice addresses (Care Compare)
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000
Hospital & facility affiliations
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516000363 | NY | Practitioner - Psychiatry | 6002105020 |
Reassigns benefits to 1 organization Practice locations: New City, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198601 | NY | MD | Psychiatry Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Charity Health System Medical Group, P.C. | Psychiatry | Current |
Accepting new patients |
| Bon Secours Community Hospital | Past | Accepting new patients | |
| Bon Secours Community Hospital | Past | Accepting new patients |
Locations
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 198601 | NY | Yes |
Addresses
Primary practice location
33 Germonds Road
Newcity, NY 10956-3555
Mailing address
20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237851 | Other | NY | MEDICARE NUMBER |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.