DR. BRAD MICHAEL GANDOLFI (NPI# 1003131053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003131053 |
| Entity Type | Individual |
| Full Name | DR. BRAD MICHAEL GANDOLFI |
| Credential | M.D. |
| Practice Address |
1033 River Rd Ste 1 Edgewater NJ 07020-1351 |
| Mailing Address |
Po Box 3306 Hoboken NJ 07030-1603 |
| Practice Telephone | 2122877211 |
| Practice Fax Number | 2122877210 |
| Mailing Telephone | 2122877211 |
| Mailing Fax Number | 2122877210 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 292312-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 25MA10153500 | NJ | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 142117 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Ucla Medical Plz, Suite 465, Los Angeles, CA 900950001 | 3108250734 | 3103018751 |
| Street Address |
1033 RIVER RD STE 1 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824867 | Hudson Plastic Surgery LLC | Plastic Surgery | 1033 River Rd Ste 1, Edgewater, NJ 07020-1351 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824867 | Hudson Plastic Surgery LLC | Plastic Surgery | 1033 River Rd Ste 1, Edgewater, NJ 07020-1351 | 2020-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952950388 | Dr Paul Carniol | Plastic Surgery | 33 Overlook Rd Ste 401, Summit, NJ 07901-3564 | 2019-09-09 |
| 1457826109 | Plastic Surgery Practice of Hoboken PC | Plastic Surgery | 1320 Adams St Ste D, Hoboken, NJ 07030-2370 | 2018-10-09 |
| 1871099697 | Park Avenue Clinic, PC | Plastic Surgery | 109 Park Ave, Paterson, NJ 07501-2328 | 2018-04-02 |
| 1336657121 | Sood Center for Plastic Surgery | Plastic Surgery | 199 New Rd Ste 31, Linwood, NJ 08221-2025 | 2018-01-16 |
| 1174044481 | Shwetambara Parakh Md LLC | Plastic Surgery | 106 Grand Ave Ste 490, Englewood, NJ 07631-3596 | 2017-06-28 |
| 1609396449 | Hunterdon Specialty Care PC | Plastic Surgery | 63 Church St Ste 102, Flemington, NJ 08822-1627 | 2017-06-22 |
| 1417493131 | Aculous Medical Solutions LLC | Plastic Surgery | 330 Grand St Ste 100, Hoboken, NJ 07030-2728 | 2017-01-19 |
| 1750832499 | Altman Center for Aesthetic Plastic and Reconstructive Surgery | Plastic Surgery | 570 Sylvan Ave, 2nd Floor, Englewood Cliffs, NJ 07632-3132 | 2016-10-18 |
| 1851845846 | Michael Joseph Mclaughlin | Plastic Surgery | 6 Voorhees Way, Pennington, NJ 08534-4313 | 2016-08-08 |
| 1801200472 | Aydin Plastic Surgery Pa | Plastic Surgery | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.