DR. GILBERTO PAGAN PH.D.
NPI 1114021607
Psychologist in Newark, NJ

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
467 MOUNT PROSPECT AVE, NEWARK, NJ 07104(973) 483-0448 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gilberto Pagan Ph.d. NPPES

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

DR. GILBERTO PAGAN PH.D. (NPI 1114021607) is an individual psychologist in Newark, New Jersey, licensed in New Jersey (SIO 2338) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1114021607
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GILBERTO PAGANCredential: PH.D.
Location Address467 MOUNT PROSPECT AVENewark, NJ 07104-2907
Mailing Address467 Mount Prospect AveNewark, NJ 07104-2907 · (973) 483-0448
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 17, 2007
NPI 1114021607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · SIO 2338
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
467 MOUNT PROSPECT AVE, Newark, NJ 07104

Other Identifiers 1

Medicaid4014405NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gilberto Pagan Ph.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 ID1951710961
PECOS Enrollment IDI20230412003131
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.

Areas of Expertise CMS Part B claims 4

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
122 services121 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
111 services63 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
50 services14 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
26 services16 patients

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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40
Cost62.75

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.

Podiatrist (Foot & Ankle Surgery)
467 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Internal Medicine (Hematology & Oncology)
467 MOUNT PROSPECT AVE
NEWARK, NJ 07104

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 Gilberto Pagan's NPI number?

The NPI number for Gilberto Pagan is 1114021607. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Gilberto Pagan located?

Gilberto Pagan practices at 467 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (973) 483-0448.

What is Gilberto Pagan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gilberto Pagan enrolled in Medicare?

Yes. Gilberto Pagan 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.

What insurance does Gilberto Pagan accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Gilberto Pagan 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 Gilberto Pagan was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.