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DR. JORGE GUSTAVO PARDES MD NPI 1457349011


NPI Information

NPI: 1457349011
Provider Name: DR. JORGE GUSTAVO PARDES, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
300 2ND AVE
LONG BRANCH, NJ
ZIP 07740
Phone: (732) 923-7700
Get Directions

DR. Jorge Gustavo Pardes, MD is a diagnostic radiology radiology in Long Branch, NJ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jorge Gustavo Pardes, MD NPI is 1457349011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 2ND AVE
LONG BRANCH, NJ
ZIP 07740-303
Phone: (732) 923-7700
Fax: (732) 923-7710

The NPI 1457349011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fine needle aspiration using imaging guidance (HCPCS:10022)

The enumeration date for this NPI number is 10/7/2005 and was last updated on 10/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD049953LPENNSYLVANIANo
22085R0202XRadiologyDiagnostic Radiology25MA08326800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10149420MEDICAIDNEW JERSEY
2483261MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3119330MEDICARE PINNEW JERSEY
40014226300005MEDICAIDPENNSYLVANIA
5483261OTHERPENNSYLVANIAPA BLUE SHIELD
6483261D2YMEDICARE PINPENNSYLVANIA
7D04029MEDICARE UPIN
80844459MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.