ROBERT JOHN GIALANELLA M.D.
NPI 1144224858
Internal Medicine - Gastroenterology in Red Bank, NJ

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
365 BROAD ST, RED BANK, NJ 07701(732) 842-4294(732) 842-3854 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert John Gialanella M.d. NPPES

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

ROBERT JOHN GIALANELLA M.D. (NPI 1144224858) is an individual gastroenterology provider in Red Bank, New Jersey, licensed in New Jersey (MA67187) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1144224858
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERT JOHN GIALANELLACredential: M.D.
Location Address365 BROAD STRed Bank, NJ 07701-2150
Mailing Address365 Broad StRed Bank, NJ 07701-2150 · (732) 842-4294 · Fax (732) 842-3854
Fax(732) 842-3854
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 1, 2010
NPI 1144224858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · MA67187
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

365 BROAD ST, Red Bank, NJ 07701

Other Identifiers 2

Medicare ID-Type Unspecified0236061NJ
Medicare UPING86625NJ

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

Robert John Gialanella 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 ID547284739
PECOS Enrollment IDI20101227000790
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 19

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.

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.
194 services151 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
166 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services105 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
126 services126 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
99 services99 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
84 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Gastroenterology)
365 BROAD ST
RED BANK, NJ 07701
Internal Medicine (Gastroenterology)
365 BROAD ST
RED BANK, NJ 07701
Pain Medicine (Interventional Pain Medicine)
365 BROAD ST
RED BANK, NJ 07701
Pharmacist
365 BROAD ST
RED BANK, NJ 07701
Internal Medicine (Gastroenterology)
365 BROAD ST
RED BANK, NJ 07701
Pathology (Anatomic Pathology & Clinical Pathology)
365 BROAD ST
RED BANK, NJ 07701
Orthopaedic Surgery
365 BROAD ST
RED BANK, NJ 07701
Internal Medicine (Gastroenterology)
365 BROAD ST
RED BANK, NJ 07701

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 Robert Gialanella's NPI number?

The NPI number for Robert Gialanella is 1144224858. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Robert Gialanella located?

Robert Gialanella practices at 365 Broad St, Red Bank, NJ 07701. The listed phone number is (732) 842-4294.

What is Robert Gialanella's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Gialanella enrolled in Medicare?

Yes. Robert Gialanella 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 Robert Gialanella accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Gialanella 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 Robert Gialanella affiliated with any hospitals?

According to CMS data, Robert Gialanella is affiliated with Riverview Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Gialanella was last updated on July 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.