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DR. PAUL JOSEPH GAGLIO SR. MD
NPI 1376583492
Internal Medicine - Transplant Hepatology in Newark, NJ

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
DOCTORS OFFICE CENTER 90 BERGEN STREET, SUITE 4500, NEWARK, NJ 07631(973) 972-5252(212) 305-4343 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2024, Nov 5, 2024, May 8, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Paul Joseph Gaglio Sr. Md NPPES

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

DR. PAUL JOSEPH GAGLIO SR. MD (NPI 1376583492) is an individual transplant hepatology provider in Newark, New Jersey, licensed in New Jersey (25MA05421700) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains a secondary practice location in Florham Park.

NPPES Registry Identity

NPI1376583492
Entity TypeIndividualMale
Primary Taxonomy207RT0003X
Provider Legal NameDR. PAUL JOSEPH GAGLIO SR.Credential: MD
Location AddressDOCTORS OFFICE CENTER 90 BERGEN STREET, SUITE 4500Newark, NJ 07631
Mailing Address555 Cumberland St Ph 14Englewood, NJ 07631-4705 · (917) 575-6509
Phone(973) 972-5252
Fax(212) 305-4343
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1988
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1376583492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RT0003X
Licenses✔ Licensed in NJ · 25MA05421700✔ Licensed in NY · 179243-1
Definition

An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 179243 (NY)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 1792431 (NY)
DOCTORS OFFICE CENTER 90 BERGEN STREET, Newark, NJ 07631
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Secondary Practice Location 1

Location 1222 Columbia TpkeFlorham Park, NJ 07932-1299 · Phone (973) 261-9077 · Fax (973) 593-2060

Other Identifiers 3

Other179243NY · License
Medicaid5512603NJ
Medicaid02143873NY

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. Paul Joseph Gaglio Sr. Md 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 ID9739173907
PECOS Enrollment IDI20050428000742
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 3

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.

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.
63 services19 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.
28 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%65 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Paul Gaglio's NPI number?

The NPI number for Paul Gaglio is 1376583492. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Paul Gaglio located?

Paul Gaglio practices at Doctors Office Center 90 Bergen Street Suite 4500, Newark, NJ 07631. The listed phone number is (973) 972-5252.

What is Paul Gaglio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Transplant Hepatology, with taxonomy code 207RT0003X.

Is Paul Gaglio enrolled in Medicare?

Yes. Paul Gaglio 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.

Is Paul Gaglio affiliated with any hospitals?

According to CMS data, Paul Gaglio is affiliated with The University Hospital and Northern Westchester Hospital.

When was this NPI record last updated?

The NPPES record for Paul Gaglio was last updated on November 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.