Brad M Gandolfi (NPI# 1003131053, PAC ID# 7810286150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1003131053 |
| PAC ID by PECOS | 7810286150 |
| Professional Enrollment ID | I20171103001168 |
| Full Name | Brad M Gandolfi |
| Organization Legal Name | FRANK CIMINELLO MEDICAL PC |
| Address |
113 W Essex St Suite 204 Maywood NJ 07607-1023 |
| Phone Number | 2012895551 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2008 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 4183877905 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310074 | JERSEY CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 113 W Essex St, Suite 204, Maywood, NJ 07607-1023 | 2012895551 | FRANK CIMINELLO MEDICAL PC |
| Organization Legal Name | FRANK CIMINELLO MEDICAL PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Hahn Jr. | Plastic and Reconstructive Surgery | Frank Ciminello Medical PC | 113 W Essex St, Suite 204, Maywood, NJ 07607-1023 |
| Frank S Ciminello | Plastic and Reconstructive Surgery | Frank Ciminello Medical PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Adam M Feintisch | Plastic and Reconstructive Surgery | Frank Ciminello Medical PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Street Address |
113 W ESSEX ST SUITE 204 |
| City | MAYWOOD |
| State | NJ |
| Zip | 07607-1023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey Calvey Regan | Anesthesiology | Maywood Anesthesia Consultants LLC | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 |
| Edward Hahn Jr. | Plastic and Reconstructive Surgery | Frank Ciminello Medical PC | 113 W Essex St, Suite 204, Maywood, NJ 07607-1023 |
| Jonathan D Scherl | Orthopedic Surgery | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 | |
| Richard Y Kim | Plastic and Reconstructive Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | |
| Kate W Spina | Certified Registered Nurse Anesthetist (crna) | Maywood Anesthesia Consultants LLC | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 |
| Sharon Baker Witzel | Certified Registered Nurse Anesthetist (crna) | Maywood Anesthesia Consultants LLC | 113 W Essex St, Suite 201, Maywood, NJ 07607-1023 |
| Janet H Yueh | Plastic and Reconstructive Surgery | 113 W Essex St, Suite 202, Maywood, NJ 07607-1020 | |
| Mingi Choi | Physical Medicine and Rehabilitation | 113 W Essex St, Suite 201, Maywood, NJ 07607-1020 | |
| Wayne S Berberian | Orthopedic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Farkas | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Minsun Lee | Psychologist, Clinical | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Finbarr Chukwuemeka Ntigbu | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Freda Martin | Clinical Social Worker | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Magdalena Spariosu | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Tamkeen Lally | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Michael Y Lozovatsky | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Diane Jasmin | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Zuleika A Arroyo | Psychiatry | Hackensack University Medical Group PC | 87 Rte 17, Maywood, NJ 07607 |
| Richard M Winters | Plastic and Reconstructive Surgery | Aesthetic and Reconstructive Surgeons, LLC | 113 Essex St, Suite 202, Maywood, NJ 07607-1020 |
| Find all physicians in zip 07607 | |||
| City | MAYWOOD |
| Zip Code | 07607 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | MAYWOOD + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Brad M Gandolfi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.