Active NPI
Gazala Darvesh, M.D.
- Hospitalist Physician
- Hackensack, NJ
National Provider Identifier
1922109149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA10104400
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (212) 537-6189
- Fax
- (973) 201-2313
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25MA10104400 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MA10104400 | NJ |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
PO Box 8174
Parsippany, NJ 07054-8174
Phone (559) 341-9501
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170719001099 | NJ | Practitioner - Internal Medicine | 9830086669 | Practice locations: Hackensack, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone 21253761890
Hospital & facility affiliations
- Hackensack University Medical Center
- Hackensack Meridian Health Pascack Valley Medical
- Dellridge Health & Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.79 of 100
- Quality
- 70.46
- Improvement activities
- 40
- Cost
- 67.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21841 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Sante Health Foundation | Internal Medicine | Past | Accepting new patients |
| Community Hospitalist Medical Group Inc. | Internal Medicine | Past | Accepting new patients |
| Kidney Specialist | Past | Accepting new patients | |
| Kidney Specialist Inc. | Past | Accepting new patients |
Interoperability endpoints
- gdarvesh576066@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1467437376
-
- Specialist
- Madera, CA
- NPI 1558667949
-
- Nephrology Physician
- Madera, CA
- NPI 1356539423
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1376840546
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Paramus, NJ
- NPI 1013003854
Nursing home
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1922109149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8174",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070548174",
"telephone_number": "559-341-9501",
"fax_number": "973-201-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "212-537-6189",
"fax_number": "973-201-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVESH",
"first_name": "GAZALA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA10104400",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10104400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.