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DZHAMALA GILMANDYAR MD
NPI 1609016815
Obstetrics & Gynecology - Maternal & Fetal Medicine in Neptune, NJ

Active since February 27, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
19 DAVIS AVE FL 7, NEPTUNE, NJ 07753(732) 776-4755(732) 776-4754 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dzhamala Gilmandyar Md NPPES

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

DZHAMALA GILMANDYAR MD (NPI 1609016815) is an individual maternal & fetal medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA09262400) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2006).

NPPES Registry Identity

NPI1609016815
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDZHAMALA GILMANDYARCredential: MD
Location Address19 DAVIS AVE FL 7Neptune, NJ 07753-4488
Mailing Address19 Davis Ave Fl 7Neptune, NJ 07753-4488 · (732) 776-4755 · Fax (732) 776-4754
Phone(732) 776-4755
Fax(732) 776-4754
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2006
Enumeration DateFebruary 27, 2009
Last NPPES UpdateDecember 11, 2018
✔ NPI 1609016815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA09262400
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 254186 (NY)
19 DAVIS AVE FL 7, Neptune, NJ 07753
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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

Dzhamala Gilmandyar 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 ID345435764
PECOS Enrollment IDI20101111000534
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

6

Medicare enrollment records show Dzhamala Gilmandyar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
9.2 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
North Shore - Lij Medical PC
41 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Newark Wayne Community Hospital
253 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
Rochester General Hospital
262 mi
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1821163718 (315) 483-9135
University Of Rochester
274 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
Highlands Womens Health
274 mi
Obstetrics & Gynecology
990 SOUTH AVE, SUITE 103
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1861836652 (585) 341-0101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

HELEN KARWOWSKA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
DR. ANN S ROSS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
BLAIR FAITH GERMAIN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
CASEY MARKS MS
Genetic Counselor, MS
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3681
ALLYSON LEE THOMAS
Nurse Practitioner (Family)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3797
DR. NINA STELLA JACOBSON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3797
MISS CHRISTINE TORRES MSN, APN, FNP-BC
Nurse Practitioner
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3797
EDUARDO R BAUTISTA MD
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524

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 Dzhamala Gilmandyar's NPI number?

The NPI number for Dzhamala Gilmandyar is 1609016815. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Where is Dzhamala Gilmandyar located?

Dzhamala Gilmandyar practices at 19 Davis Ave Fl 7, Neptune, NJ 07753. The listed phone number is (732) 776-4755.

What is Dzhamala Gilmandyar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Dzhamala Gilmandyar enrolled in Medicare?

Yes. Dzhamala Gilmandyar 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 Dzhamala Gilmandyar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dzhamala Gilmandyar reassigns Medicare benefits to 6 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), North Shore - Lij Medical PC (New Hyde Park, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY), University Of Rochester (Rochester, NY) and 1 more organization, listed in the Medicare section above. 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 Dzhamala Gilmandyar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dzhamala Gilmandyar was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.