DR. HISHAM H GADALLA MD
NPI 1689666257
Pediatrics in Clifton, NJ

Q: What is Hisham Gadalla's NPI number?

The NPI number for Hisham Gadalla is 1689666257. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Hisham Gadalla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Hisham Gadalla was last updated on December 29, 2023. 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.

Active since August 18, 2005PECOS Enrolled

1135 MAIN AVE FL 2, CLIFTON, NJ 07011(973) 928-3388(973) 928-3388 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Hisham H Gadalla Md NPPES

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

DR. HISHAM H GADALLA MD (NPI 1689666257) is an individual pediatrics provider in Clifton, New Jersey, licensed in New Jersey (25MA07589300) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Paterson.

NPPES Registry Identity

NPI1689666257

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. HISHAM H GADALLACredential: MD

Location Address1135 MAIN AVE FL 2Clifton, NJ 07011-2353

Mailing Address238 Old Wagon RdFranklin Lakes, NJ 07417-1626 · (973) 928-3388 · Fax (973) 404-8525

Phone(973) 928-3388

Fax(973) 928-3388

Sole ProprietorYes

Enumeration DateAugust 18, 2005

Last NPPES UpdateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1689666257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA07589300

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1135 MAIN AVE FL 2, Clifton, NJ 07011

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Secondary Practice Location 1

Location 1540 Straight St Ste 2EPaterson, NJ 07503-3240 · Phone (973) 928-3388 · Fax (973) 928-3388

Other Identifiers 1

Medicaid0008265NJ

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 (PECOS)

Dr. Hisham H Gadalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

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.

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 Hisham Gadalla's NPI number?

The NPI number for Hisham Gadalla is 1689666257. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Hisham Gadalla located?

Hisham Gadalla practices at 1135 Main Ave Fl 2, Clifton, NJ 07011. The listed phone number is (973) 928-3388.

What is Hisham Gadalla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hisham Gadalla enrolled in Medicare?

Yes. Hisham Gadalla is registered in the Medicare PECOS enrollment system.

What insurance does Hisham Gadalla accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hisham Gadalla 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.

When was this NPI record last updated?

The NPPES record for Hisham Gadalla was last updated on December 29, 2023. 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.