Active NPI
Frank J Gilly, MD
- Family Medicine Physician
- Washington, NJ
National Provider Identifier
1891785291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA38496
- Practice address
- 315 State Route 31 S
Washington, NJ 07882-4069 - Phone
- (908) 689-0777
- Fax
- (908) 835-3037
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA38496 | NJ | Primary |
Addresses
Primary practice location
315 State Route 31 S
Washington, NJ 07882-4069
Mailing address
PO Box 27957
Salt Lake City, UT 84127-0957
Phone (908) 835-1910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1287800 | Medicaid | NJ | |
| P00120590 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA38496 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1891785291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27957",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270957",
"telephone_number": "908-835-1910",
"fax_number": "908-835-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 STATE ROUTE 31 S",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078824069",
"telephone_number": "908-689-0777",
"fax_number": "908-835-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLY",
"first_name": "FRANK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA38496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1287800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00120590",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.