DR. SANDHYA VIVEK GUMASTE MD
NPI 1811943418
Internal Medicine in Teaneck, NJ
About Dr. Sandhya Vivek Gumaste Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDHYA VIVEK GUMASTE MD (NPI 1811943418) is an individual internal medicine provider in Teaneck, New Jersey, licensed in New Jersey (25MA05870700) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 20, 2027, and is affiliated with Hackensack University Medical Center.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
Dr. Sandhya Vivek Gumaste 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.
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 31D0981332
Sandhya Gumaste MD Internal Medicine · Teaneck, NJAreas of Expertise CMS Part B claims 14
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJHoly Name Medical Center
Acute Care Hospitals · Teaneck, NJEnglewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEANECK, NJ 07666
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 Sandhya Gumaste's NPI number?
The NPI number for Sandhya Gumaste is 1811943418. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Sandhya Gumaste located?
Sandhya Gumaste practices at 185 Cedar Ln U-8, Teaneck, NJ 07666. The listed phone number is (201) 836-6441.
What is Sandhya Gumaste's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sandhya Gumaste enrolled in Medicare?
Yes. Sandhya Gumaste 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 Sandhya Gumaste hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0981332) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sandhya Gumaste accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Sandhya Gumaste 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 Sandhya Gumaste affiliated with any hospitals?
According to CMS data, Sandhya Gumaste is affiliated with Hackensack University Medical Center, Holy Name Medical Center and Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Sandhya Gumaste was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
