MICHELE THERESA GILSENAN D.O.
NPI 1821066283
Family Medicine - Sports Medicine in Clark, NJ

Q: What is Michele Gilsenan's NPI number?

The NPI number for Michele Gilsenan is 1821066283. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Michele Gilsenan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Michele Gilsenan was last updated on July 24, 2019. 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.

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment

67 WALNUT AVE, CLARK, NJ 07066(732) 388-7300(732) 388-1330 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michele Theresa Gilsenan D.o. NPPES

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

MICHELE THERESA GILSENAN D.O. (NPI 1821066283) is an individual sports medicine provider in Clark, New Jersey, licensed in New Jersey (MB53933) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Hanover, and is a graduate of University Of New England, College Of Osteo Medicine (1988).

NPPES Registry Identity

NPI1821066283

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameMICHELE THERESA GILSENANCredential: D.O.

Location Address67 WALNUT AVEClark, NJ 07066-1640

Mailing Address67 Walnut AveClark, NJ 07066-1640 · (732) 388-7300 · Fax (732) 388-1330

Phone(732) 388-7300

Fax(732) 388-1330

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1988

Enumeration DateMarch 10, 2006

Last NPPES UpdateJuly 24, 2019

✔ NPI 1821066283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NJ · MB53933

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

67 WALNUT AVE, Clark, NJ 07066

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Secondary Practice Location 1

Location 1399 State Route 10East Hanover, NJ 07936-3530 · Phone (908) 557-9808 · Fax (908) 557-9809

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

Michele Theresa Gilsenan D.o. 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 ID9133033244

PECOS Enrollment IDI20040319000665

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 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.

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.

335 services299 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

114 services114 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

87 services82 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

58 services53 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

49 services49 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

45 services45 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.

41 services40 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

30 services28 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

22 services21 patients

Bacterial culture, any other source except urine, blood or stool, aerobic 87070

A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.

21 services21 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

18 services17 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

17 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07066 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.

Other Providers at the Same Location NPPES 19

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

WALEED IJAZ DO

Family Medicine

67 WALNUT AVE
CLARK, NJ 07066

Union County (732) 388-7300

HEARING HEALTH PA LLC

Hearing Instrument Specialist

67 WALNUT AVE, SUITE 303
CLARK, NJ 07066

Union County (732) 882-7900

SUMMIT MEDICAL GROUP PA

Durable Medical Equipment & Medical Supplies

67 WALNUT AVE
CLARK, NJ 07066

Union County (908) 722-1220

THERACARE OF NEW JERSEY LLC

Community/Behavioral Health

67 WALNUT AVE, SUITE 306
CLARK, NJ 07066

Union County (888) 311-2611

MICHAEL ELLIOT BEAMS D.O.

Family Medicine (Sports Medicine)

67 WALNUT AVE
CLARK, NJ 07066

Union County (732) 388-7300

DR. MICHAEL GENEREUX D.O.

Family Medicine

67 WALNUT AVE
CLARK, NJ 07066

Union County (732) 388-7300

KENNETH Y. ENG, M.D., P.A.

Ophthalmology

67 WALNUT AVE, SUITE 302
CLARK, NJ 07066

Union County (732) 882-0700

SPORTS EXTRA PC

Family Medicine (Sports Medicine)

67 WALNUT AVE, SUITE 202
CLARK, NJ 07066

Union County (732) 388-7300

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 Michele Gilsenan's NPI number?

The NPI number for Michele Gilsenan is 1821066283. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Michele Gilsenan located?

Michele Gilsenan practices at 67 Walnut Ave, Clark, NJ 07066. The listed phone number is (732) 388-7300.

What is Michele Gilsenan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michele Gilsenan enrolled in Medicare?

Yes. Michele Gilsenan 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.

When was this NPI record last updated?

The NPPES record for Michele Gilsenan was last updated on July 24, 2019. 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.