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NEIL GAFFIN M.D.
NPI 1649259045
Internal Medicine - Infectious Disease in Ridgewood, NJ

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
947 LINWOOD AVE, SUITE 2E, RIDGEWOOD, NJ 07450(201) 447-6468(201) 447-3189 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neil Gaffin M.d. NPPES

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

NEIL GAFFIN M.D. (NPI 1649259045) is an individual infectious disease provider in Ridgewood, New Jersey, licensed in New Jersey (MA71002) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Hahnemann University College Of Medicine (1993).

NPPES Registry Identity

NPI1649259045
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameNEIL GAFFINCredential: M.D.
Location Address947 LINWOOD AVE, SUITE 2ERidgewood, NJ 07450-2939
Mailing Address947 Linwood Ave, Suite 2eRidgewood, NJ 07450-2939 · (201) 447-6468 · Fax (201) 447-3189
Phone(201) 447-6468
Fax(201) 447-3189
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1993
Enumeration DateJanuary 13, 2006
Last NPPES UpdateDecember 26, 2012
✔ NPI 1649259045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · MA71002
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
947 LINWOOD AVE, Ridgewood, NJ 07450
Open in Google Maps ↗

Other Identifiers 12

Other5931557NJ · Aetna Ppo#
Other100067NJ · Amerigroup#
Other862162NY · Empire Bc/bs#
Other2454996NJ · Aetna Hmo#
Other1144615NJ · Horizon Nj Health#
Other2509827NY · Ghi Ppo#
Other2K1089NJ · Healthnet#
Other440003137NJ · Railroad Medicare#
OtherP401053NJ · Oxford#
Other91001232500NJ · Americhoice#
Medicare UPING27819NJ
Medicare PIN038307CFGNJ

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

Neil Gaffin 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 ID5890983878
PECOS Enrollment IDI20101216000854
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 8

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.

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.
317 services303 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.
299 services218 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
169 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services108 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.
88 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

DR. KIRAN BHAGWAN AMESUR M.D.
Ophthalmology
947 LINWOOD AVE, SUITE 2 SOUTH
RIDGEWOOD, NJ 07450
Bergen County (201) 857-4751
DR. SIMON JOHN TSIOURIS M.D.
Internal Medicine (Infectious Disease)
947 LINWOOD AVE, SUITE 2E
RIDGEWOOD, NJ 07450
Bergen County (201) 447-6468
AMESUR EYE ASSOCIATES, P.A.
Ophthalmology
947 LINWOOD AVE, SUITE 2 SOUTH
RIDGEWOOD, NJ 07450
Bergen County (201) 857-4751
UMAR JAMSHED SHARIF KHAWAJA MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
947 LINWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (014) 445-5522
CAROL ANN O'HAGAN SOTSKY M.D.
Internal Medicine (Infectious Disease)
947 LINWOOD AVE, SUITE 2E
RIDGEWOOD, NJ 07450
Bergen County (201) 447-6468
NANCEYANNE TALLIS
Nurse Practitioner (Adult Health)
947 LINWOOD AVE
RIDGEWOOD, NJ 07450
Bergen County (201) 803-6559
AMY LYNN HALL NP
Nurse Practitioner (Acute Care)
947 LINWOOD AVE, 2ND FLOOR
RIDGEWOOD, NJ 07450
Bergen County (201) 251-3480
DR. ADAM SCOTT KELMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
947 LINWOOD AVE, SUITE 1W
RIDGEWOOD, NJ 07450
Bergen County (201) 444-5552

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 Neil Gaffin's NPI number?

The NPI number for Neil Gaffin is 1649259045. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Neil Gaffin located?

Neil Gaffin practices at 947 Linwood Ave Suite 2E, Ridgewood, NJ 07450. The listed phone number is (201) 447-6468.

What is Neil Gaffin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Neil Gaffin enrolled in Medicare?

Yes. Neil Gaffin 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 Neil Gaffin affiliated with any hospitals?

According to CMS data, Neil Gaffin is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Neil Gaffin was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.