NPIMap

Organization Active NPI

L. Gualberti Girgis MD and J. Gualberti MD

  • Internal Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1821008327
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA075687 Issued in NJ
Legal business name
L. GUALBERTI GIRGIS MD AND J. GUALBERTI MD
Practice address
9 Professional Cir
Suite 101
Colts Neck, NJ 07722-2426
Phone
(732) 431-1520
Fax
(732) 431-1567
NPI assigned
Aug 8, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. Joann Gualberti, MDNPI 1669482220
Title
Owner
Phone
(732) 431-1520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA075687 NJ Primary

Addresses

Primary practice location

9 Professional Cir
Suite 101
Colts Neck, NJ 07722-2426

Mailing address

9 Professional Cir
Suite 101
Colts Neck, NJ 07722-2426
Phone (732) 431-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000627 NJ Part B Supplier - Clinic/Group Practice 7113987769 Receives reassigned benefits from 3 practitioners
Practice locations: Colts Neck, NJ

National Provider Directory

National Provider Directory

Locations

9 Professional Cir
Ste 101
Colts Neck, NJ 07722
Phone (732) 431-1520

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1821008327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL CIR",
            "address_2": "SUITE 101",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222426",
            "telephone_number": "732-431-1520",
            "fax_number": "732-431-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL CIR",
            "address_2": "SUITE 101",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222426",
            "telephone_number": "732-431-1520",
            "fax_number": "732-431-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. GUALBERTI GIRGIS MD AND J. GUALBERTI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "GUALBERTI",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-431-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA075687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.