DR. PRIYANKA GUMASTE M.D.
NPI 1073996609
Dermatology in Hoboken, NJ

Q: What is Priyanka Gumaste's NPI number?

The NPI number for Priyanka Gumaste is 1073996609. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Q: What is Priyanka Gumaste's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Priyanka Gumaste was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment

2 HUDSON PL, HOBOKEN, NJ 07030(201) 795-0021 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Priyanka Gumaste M.d. NPPES

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

DR. PRIYANKA GUMASTE M.D. (NPI 1073996609) is an individual dermatology provider in Hoboken, New Jersey, licensed in New Jersey (25MA10604000) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073996609

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. PRIYANKA GUMASTECredential: M.D.

Location Address2 HUDSON PLHoboken, NJ 07030-5594

Mailing Address2 Hudson PlHoboken, NJ 07030-5594

Phone(201) 795-0021

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 1, 2015

Last NPPES UpdateAugust 27, 2020

NPPES CertifiedAugust 27, 2020

✔ NPI 1073996609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NJ · 25MA10604000

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2 HUDSON PL, Hoboken, NJ 07030

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Secondary Practice Location 1

Location 175 Francis Street, Boston, MA 02115Boston, MA 02115 · Phone (617) 732-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Priyanka Gumaste 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 ID8426362021

PECOS Enrollment IDI20191105001496

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 Reassignment

Medicare enrollment records show Priyanka Gumaste reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schweiger Dermatology, PC

100 mi

Dermatology

420 FRONT ST
Elmer, NJ 08318

Reassigned Medicare billing, New Jersey enrollment
141 clinicians in this Medicare group

NPI 1104229392 (973) 878-0850

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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

259 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services91 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

88 services62 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

85 services75 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services35 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

33 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services16 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

19 services12 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

16 services11 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 4

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

HOBOKEN MRI, P.A.

Clinic/Center (Radiology)

2 HUDSON PL, FIRST FLOOR
HOBOKEN, NJ 07030

Hudson County (201) 418-0040

VYTALIZE HEALTH OH ACO LLC

Internal Medicine

2 HUDSON PL
HOBOKEN, NJ 07030

Hudson County (201) 205-2628

DR. MARK JAY BERGER M.D.

Radiology (Diagnostic Radiology)

2 HUDSON PL, FIRST FLOOR
HOBOKEN, NJ 07030

Hudson County (201) 418-0040

MR. TODD LAWRENCE NEWMAN PA-C

Physician Assistant

2 HUDSON PL
HOBOKEN, NJ 07030

Hudson County (201) 795-0021

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 Priyanka Gumaste's NPI number?

The NPI number for Priyanka Gumaste is 1073996609. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Priyanka Gumaste located?

Priyanka Gumaste practices at 2 Hudson Pl, Hoboken, NJ 07030. The listed phone number is (201) 795-0021.

What is Priyanka Gumaste's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Priyanka Gumaste enrolled in Medicare?

Yes. Priyanka Gumaste 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 Priyanka Gumaste's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Gumaste reassigns Medicare benefits to Schweiger Dermatology, PC (Elmer, 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 Priyanka Gumaste's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Gumaste accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Priyanka Gumaste 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.

When was this NPI record last updated?

The NPPES record for Priyanka Gumaste was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.