Individual provider Active NPI

Alexander T Gaddi Jr., FNP-BC

  • Family Nurse Practitioner
  • Ramsey, NJ
National Provider Identifier
1750008116
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01348300 Issued in NJ
Practice address
470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385
Phone
(201) 327-0500
Fax
(201) 327-8612
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01348300 NJ Primary
Registered Nurse 163W00000X 26NR16435200 NJ

Addresses

Primary practice location

470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385

Mailing address

470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385
Phone (201) 327-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ag@vdmc.medentdirect.com Direct Valley Diagnostic Medical Center

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
I20230404002319 NJ Practitioner - Nurse Practitioner 2264807247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Diagnostic Medical CenterGroup PAC ID 3971606286, 6 clinicians

Practice addresses (Care Compare)

470 N Franklin Tpke
Suite 203
Ramsey, NJ 07446-1120
Phone (201) 327-0500

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR16435200NJMDRegistered Nurse
26NJ01348300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Diagnostic Medical Center CurrentSince Apr 1, 2023 Accepting new patients

Locations

470 N Franklin Tpke
Ste 203
Ramsey, NJ 07446
Phone (201) 327-0500

Organizations & group practices 1

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 2

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1750008116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N FRANKLIN TPKE STE 203",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461385",
            "telephone_number": "201-327-0500",
            "fax_number": "201-327-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N FRANKLIN TPKE STE 203",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461385",
            "telephone_number": "201-327-0500",
            "fax_number": "201-327-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDI",
        "first_name": "ALEXANDER",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01348300",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16435200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ag@vdmc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "Valley Diagnostic Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 N Franklin Tpke Ste 203",
            "city": "Ramsey",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074461385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.