GERARDO DOMINADO DUMAPIT MD
NPI 1619929627
Internal Medicine in South Plainfield, NJ

Q: What is Gerardo Dumapit's NPI number?

The NPI number for Gerardo Dumapit is 1619929627. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Gerardo Dumapit's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerardo Dumapit was last updated on July 8, 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D1042098 · Waiver

19.25/100

CMS Quality Rating

906 OAK TREE AVE, SUITE C, SOUTH PLAINFIELD, NJ 07080(908) 822-1213(908) 822-1088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gerardo Dominado Dumapit Md NPPES

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

GERARDO DOMINADO DUMAPIT MD (NPI 1619929627) is an individual internal medicine provider in South Plainfield, New Jersey, licensed in New Jersey (25MA06258900) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 19, 2027, and is affiliated with Raritan Bay Medical Center.

NPPES Registry Identity

NPI1619929627

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGERARDO DOMINADO DUMAPITCredential: MD

Location Address906 OAK TREE AVE, SUITE CSouth Plainfield, NJ 07080-5127

Mailing Address906 Oak Tree Ave, Suite CSouth Plainfield, NJ 07080-5127 · (908) 822-1213 · Fax (908) 822-1088

Phone(908) 822-1213

Fax(908) 822-1088

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619929627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA06258900

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

906 OAK TREE AVE, South Plainfield, NJ 07080

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Other Identifiers 2

Medicare UPING58153NJ

Medicare ID-Type Unspecified959120NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Gerardo Dominado Dumapit 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 ID2668414806

PECOS Enrollment IDI20050526000906

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1042098

Gerardo D Dumapit MD LLC · South Plainfield, NJ

Active · expires Jun 19, 2027

CLIA Number31D1042098

Laboratory TypePhysician Office

Certificate Effective DateJune 20, 2025

Certificate Expiration DateJune 19, 2027

Laboratory DirectorGerardo D. Dumapit MD

Laboratory Phone(908) 822-1213

Laboratory LocationGerardo D Dumapit MD LLC906 Oak Tree Road Suite C, South Plainfield, NJ 07080

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,997 services182 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

502 services82 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.

315 services224 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.

282 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

198 services198 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

185 services141 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

145 services111 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

128 services104 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

65 services65 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

49 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services31 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

25 services24 patients

Nursing facility discharge day management, 30 minutes or less 99315

20 services19 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

17 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

19.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

37.85

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

24 suppliers72 claims170 services$5.86 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers41 claims51 services$0.99 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers16 claims16 services$38.94 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$11.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers27 claims27 services$55.44 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims900 services$0.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

SPECIALTY MD INC

Ophthalmology

906 OAK TREE AVE, SUITE J
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 222-3506

S.GANTI MD PA

Pediatrics

906 OAK TREE AVE, SUITE E
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 822-1181

HEALTHEXCEL PC

Ophthalmology

906 OAK TREE AVE, SUITE J,
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 222-8700

HEALTHEXCEL CARDIOLOGY ASSOCIATES P.C

Internal Medicine (Cardiovascular Disease)

906 OAK TREE AVE, SUITE J
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 769-9900

DR. JAGPAL RANA MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

906 OAK TREE AVE, SUITE # K-L
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 668-8800

DR. GEOFFREY GONZALES DMD

Dentist (Pediatric Dentistry)

906 OAK TREE AVE, M
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 769-5200

INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC

Clinic/Center (Physical Therapy)

906 OAK TREE AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (732) 317-4105

DR. SUBRAHMANYAM GANTI M.D.,

Pediatrics

906 OAK TREE AVE, SUITE E
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 822-1181

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 Gerardo Dumapit's NPI number?

The NPI number for Gerardo Dumapit is 1619929627. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Gerardo Dumapit located?

Gerardo Dumapit practices at 906 Oak Tree Ave Suite C, South Plainfield, NJ 07080. The listed phone number is (908) 822-1213.

What is Gerardo Dumapit's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerardo Dumapit enrolled in Medicare?

Yes. Gerardo Dumapit 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.

Does Gerardo Dumapit hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1042098) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gerardo Dumapit accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gerardo Dumapit 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 Gerardo Dumapit affiliated with any hospitals?

According to CMS data, Gerardo Dumapit is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Dumapit was last updated on July 8, 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.