NPIMap

Individual provider Active NPI

Kalyani I Gardilla, MD

  • Internal Medicine Physician
  • Tinton Falls, NJ
National Provider Identifier
1831196278
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07439400 Issued in NJ
Practice address
4 Hartford Dr
Tinton Falls, NJ 07701-4929
Phone
(732) 741-3600
Fax
(732) 741-6079
NPI assigned
Jun 30, 2005
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 25MA07439400 NJ Primary

Addresses

Primary practice location

4 Hartford Dr
Tinton Falls, NJ 07701-4929

Mailing address

PO Box 249
Red Bank, NJ 07701-0249
Phone (732) 741-3600

Other identifiers 1

IdentifierTypeStateIssuer
9122702MedicaidNJ

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
I20050908000670 NJ Practitioner - Internal Medicine 3779515945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 530-2296

4 Hartford Dr
Suite 1
Tinton Falls, NJ 07701-4945
Phone (732) 741-3600

985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Medical Associates PA Internal Medicine CurrentSince Sep 30, 2002 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Oct 19, 2023 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

142 Highway 35
Ste 101
Eatontown, NJ 07724
Phone (732) 935-0031

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

734 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 212-1910

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

89 Avenue At the Cmn
Shrewsbury, NJ 07702
Phone (732) 380-0020

4 Hartford Dr
Tinton Falls, NJ 07701
Phone (732) 741-3600

4 Hartford Dr
Ste 1
Tinton Falls, NJ 07701
Phone (732) 741-3600

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: kalyani.gardilla@direct.hackensackmeridian.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1831196278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010249",
            "telephone_number": "732-741-3600",
            "fax_number": "732-741-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014929",
            "telephone_number": "732-741-3600",
            "fax_number": "732-741-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDILLA",
        "first_name": "KALYANI",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07439400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9122702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.