SEJAL GANDHI M.D
NPI 1841599032
Internal Medicine - Infectious Disease in Englewood, NJ

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
25 ROCKWOOD PL STE 120, ENGLEWOOD, NJ 07631(908) 420-2014 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2020, Aug 30, 2017, Aug 25, 2016 (3 updates tracked since 2016).

About Sejal Gandhi M.d NPPES

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

SEJAL GANDHI M.D (NPI 1841599032) is an individual infectious disease provider in Englewood, New Jersey, licensed in New Jersey (25MA10731200) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841599032
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSEJAL GANDHICredential: M.D
Location Address25 ROCKWOOD PL STE 120Englewood, NJ 07631-4958
Mailing Address2419 Sterling BlvdEnglewood, NJ 07631-4830 · (908) 420-2014
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 28, 2011
Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1841599032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in NJ · 25MA10731200 Licensed in NY · 286245
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.

25 ROCKWOOD PL STE 120, Englewood, NJ 07631

Other Identifiers 1

Medicaid0724467NJ

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

Sejal Gandhi 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 ID9931487642
PECOS Enrollment IDI20200327001916
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 5

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 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.
543 services246 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.
164 services151 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.
64 services42 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.
39 services23 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.
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.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Infectious Disease)
25 ROCKWOOD PL STE 120
ENGLEWOOD, NJ 07631
Nurse Practitioner (Family)
25 ROCKWOOD PL STE 120
ENGLEWOOD, NJ 07631
Internal Medicine (Infectious Disease)
25 ROCKWOOD PL STE 120
ENGLEWOOD, NJ 07631
Nurse Practitioner (Gerontology)
25 ROCKWOOD PL STE 120
ENGLEWOOD, NJ 07631

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 Sejal Gandhi's NPI number?

The NPI number for Sejal Gandhi is 1841599032. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Sejal Gandhi located?

Sejal Gandhi practices at 25 Rockwood Pl Ste 120, Englewood, NJ 07631. The listed phone number is (908) 420-2014.

What is Sejal Gandhi's specialty?

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

Is Sejal Gandhi enrolled in Medicare?

Yes. Sejal Gandhi 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.

What insurance does Sejal Gandhi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sejal Gandhi 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 Sejal Gandhi affiliated with any hospitals?

According to CMS data, Sejal Gandhi is affiliated with Hackensack University Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Sejal Gandhi was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.