NPIMap

Individual provider Active NPI

Sandhya Vivek Gumaste, MD

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1811943418
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05870700 Issued in NJ
Practice address
185 Cedar LN
U-8
Teaneck, NJ 07666-4316
Phone
(201) 836-6441
Fax
(201) 836-6448
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05870700 NJ Primary

Addresses

Primary practice location

185 Cedar LN
U-8
Teaneck, NJ 07666-4316

Mailing address

185 Cedar LN
U-8
Teaneck, NJ 07666-4316
Phone (201) 836-6441

Other identifiers 1

IdentifierTypeStateIssuer
8319707MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000073 NJ Practitioner - Internal Medicine 1153581988 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

185 Cedar LN
Teaneck, NJ 07666-4387

185 Cedar LN
Unit 8
Teaneck, NJ 07666-4316
Phone (201) 836-6441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.35 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Medical Center Inc. Past Accepting new patients

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 12

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1811943418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "U-8",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-6441",
            "fax_number": "201-836-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "U-8",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-6441",
            "fax_number": "201-836-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMASTE",
        "first_name": "SANDHYA",
        "middle_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05870700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8319707",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.