DR. BLAIR RACHEL GUMNIC D.O.
NPI 1043657059
Obstetrics & Gynecology in Wall Township, NJ
About Dr. Blair Rachel Gumnic D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAIR RACHEL GUMNIC D.O. (NPI 1043657059) is an individual obstetrics & gynecology provider in Wall Township, New Jersey, licensed in New Jersey (25MB09614600) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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. Blair Rachel Gumnic D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Blair Gumnic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ocean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blair Gumnic's NPI number?
The NPI number for Blair Gumnic is 1043657059. It was assigned to this individual provider in the NPPES registry on May 30, 2013.
Where is Blair Gumnic located?
Blair Gumnic practices at 1924 Hwy 35, Wall Township, NJ 07719. The listed phone number is (732) 974-8404.
What is Blair Gumnic's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Blair Gumnic enrolled in Medicare?
Yes. Blair Gumnic 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 organization bills Medicare for Blair Gumnic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Gumnic reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Blair Gumnic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Gumnic accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Blair Gumnic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Blair Gumnic affiliated with any hospitals?
According to CMS data, Blair Gumnic is affiliated with Ocean Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Blair Gumnic was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Dr. Blair Rachel Gumnic, D.O. · NPI 1043657059
Obstetrics & Gynecology physician in Wall Township, New Jersey. Individual provider, active in the CMS NPPES registry since May 30, 2013.
## Identity
- **NPI:** 1043657059 (Entity type: Individual)
- **Enumerated:** May 30, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 25MB09614600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1924 HWY 35, Wall Township, NJ 07719-3530
- **Phone:** (732) 974-8404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2011
## Record status
- **NPPES last updated:** August 26, 2015
- **Other identifiers:** Medicare PIN 1440529702976 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1043657059) · Data from the CMS NPPES public registry.