SANDRA GIRON M.D.
NPI 1568430189
Obstetrics & Gynecology in North Bergen, NJ

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
7500 BERGENLINE AVE FL 2, NORTH BERGEN, NJ 07047(201) 864-4442 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2021, Jan 12, 2018 (2 updates tracked since 2018).

About Sandra Giron M.d. NPPES

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

SANDRA GIRON M.D. (NPI 1568430189) is an individual obstetrics & gynecology provider in North Bergen, New Jersey, licensed in New Jersey (25MA07229700) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1568430189
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSANDRA GIRONCredential: M.D.
Location Address7500 BERGENLINE AVE FL 2North Bergen, NJ 07047-5401
Mailing AddressPo Box 22581New York, NY 10087-2581 · (610) 482-4795 · Fax (856) 528-3117
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 9, 2006
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1568430189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA07229700
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7500 BERGENLINE AVE FL 2, North Bergen, NJ 07047

Other Names 1

Former Name (1)Sandra Giron-jimenez

Secondary Practice Location 1

Location 120 Prospect Ave, SUITE 805Hackensack, NJ 07601-1997 · Phone (201) 869-9792

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

Sandra Giron 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 ID8527223288
PECOS Enrollment IDI20120702000037
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 Reassignments

2

Medicare enrollment records show Sandra Giron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07047 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 2

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

Optometrist
7500 BERGENLINE AVE FL 2
NORTH BERGEN, NJ 07047
Dentist (Pediatric Dentistry)
7500 BERGENLINE AVE FL 2
NORTH BERGEN, NJ 07047

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 Sandra Giron's NPI number?

The NPI number for Sandra Giron is 1568430189. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Sandra Giron-Jimenez.

Where is Sandra Giron located?

Sandra Giron practices at 7500 Bergenline Ave Fl 2, North Bergen, NJ 07047. The listed phone number is (201) 864-4442.

What is Sandra Giron's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandra Giron enrolled in Medicare?

Yes. Sandra Giron 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 organizations bill Medicare for Sandra Giron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Giron reassigns Medicare benefits to 2 organizations: Medical Associates Of Englewood, PC (Englewood, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Sandra Giron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Giron accept?

Health plans from Oscar Health list Sandra Giron 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 Sandra Giron affiliated with any hospitals?

According to CMS data, Sandra Giron is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Giron was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.