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DR. BRAD MICHAEL GANDOLFI M.D.
NPI 1003131053
Plastic Surgery in New York, NY

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
25 5TH AVE APT 1F, NEW YORK, NY 10003(212) 287-7211(212) 287-7210 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Nov 8, 2024, Feb 22, 2023 and 8 more (11 updates tracked since 2016).

About Dr. Brad Michael Gandolfi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRAD MICHAEL GANDOLFI M.D. (NPI 1003131053) is an individual plastic surgery provider in New York, New York, licensed in New York (292312-1) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003131053
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BRAD MICHAEL GANDOLFICredential: M.D.
Location Address25 5TH AVE APT 1FNew York, NY 10003-4308
Mailing Address25 5th Ave Apt 1fNew York, NY 10003-4308 · (212) 287-7211 · Fax (212) 287-7210
Phone(212) 287-7211
Fax(212) 287-7210
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2008
Enumeration DateApril 2, 2010
Last NPPES UpdateMarch 20, 202511 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1003131053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in NY · 292312-1✔ Licensed in NJ · 25MA10153500✔ Licensed in CA · 142117
Definition
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.
25 5TH AVE APT 1F, New York, NY 10003
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Secondary Practice Locations 3

Location 14 W 58th St Fl 11New York, NY 10019-2515 · Phone (212) 355-7980
Location 230 N Dean StEnglewood, NJ 07631-2807 · Phone (212) 287-7211 · Fax (212) 287-7210
Location 3905 5th Ave Ste 1CNew York, NY 10021-4156 · Phone (212) 287-7211 · Fax (212) 287-7210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brad Michael Gandolfi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810286150
PECOS Enrollment IDI20171103001168, I20220726002857
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brad Gandolfi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hudson Plastic Surgery Nj LLC
Same address
Plastic Surgery
25 5TH AVE, SUITE 1F
New York, NY 10003
  • Reassigned Medicare billing, New Jersey and New York enrollments
  • 2 clinicians in this Medicare group
NPI 1942824867 (212) 287-7211
County Of Los Angeles
2,413 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1205354370 (661) 471-4232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DORA PEREZ MS, ANP
Nurse Practitioner (Adult Health)
25 5TH AVE APT 1F
NEW YORK, NY 10003
New York County (646) 580-3538
CORRINN LUCOTCH PA-C
Physician Assistant
25 5TH AVE APT 1F
NEW YORK, NY 10003
New York County (212) 287-7211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad Gandolfi's NPI number?

The NPI number for Brad Gandolfi is 1003131053. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Brad Gandolfi located?

Brad Gandolfi practices at 25 5th Ave Apt 1F, New York, NY 10003. The listed phone number is (212) 287-7211.

What is Brad Gandolfi's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Brad Gandolfi enrolled in Medicare?

Yes. Brad Gandolfi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brad Gandolfi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brad Gandolfi reassigns Medicare benefits to 2 organizations: Hudson Plastic Surgery Nj LLC (New York, NY) and County Of Los Angeles (Lancaster, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brad Gandolfi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brad Gandolfi affiliated with any hospitals?

According to CMS data, Brad Gandolfi is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Brad Gandolfi was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.