DR. GILBERTO PAGAN (PH.D.) – Psychologist, NPI 1114021607

DR. GILBERTO PAGAN (PH.D.) is a healthcare provider. based in Newark, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. SIO 2338 (NJ). The NPI Number for DR. GILBERTO PAGAN (PH.D.) is 1114021607

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. GILBERTO PAGAN (PH.D.)
NPI
1114021607
Phone
(973) 483-0448
Address
467 MOUNT PROSPECT AVE
Enumeration Date
12 September 2006
Last Update Date
17 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8438940000
Graduation Year
1972 (54 years ago)
PAC ID
1951710961
Group Practice PAC ID
4486067600
Professional Enrollment ID
I20230412003131
Address ID
SC295794204MY215XXCTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

963 CLINICAL PSYCHOLOGIST in NJ

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Provider Addresses for DR. GILBERTO PAGAN (PH.D.)

  • 467, Mount Prospect Avenue, Newark, Essex County, New Jersey, 07104, United States

    NEWARK, NJ 071042907

    Phone: (973) 483-0448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210504000994IClinical PsychologistNJTBD
I20230412003131IClinical PsychologistSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes467245$0
90791Psychiatric diagnostic evaluation453448$0
90785Psychiatric services complicated by communication factor11492$0
90834Psychotherapy, 45 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 07104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486067600View full group profile
NameSpecialtyState
Mental Health CounselorSC
Mental Health CounselorCT
Clinical Social WorkerSC
Clinical Social WorkerSC
Clinical Social WorkerSC
Clinical Social WorkerNC
Clinical Social WorkerNY
Mental Health CounselorSC
Clinical Social WorkerMA
Mental Health CounselorSC

Reviews

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Frequently asked questions

Where can patients find DR. GILBERTO PAGAN (PH.D.)'s NPI?
You can confirm DR. GILBERTO PAGAN (PH.D.) with NPI 1114021607; it appears in the national provider directory.
Is DR. GILBERTO PAGAN (PH.D.) currently active in the NPI registry?
CMS-published data lists DR. GILBERTO PAGAN (PH.D.) as an active registrant.
What kind of provider is DR. GILBERTO PAGAN (PH.D.)?
The page reflects Psychologist for DR. GILBERTO PAGAN (PH.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. GILBERTO PAGAN (PH.D.)?
We surface Newark, New Jersey for DR. GILBERTO PAGAN (PH.D.) based on available NPPES addresses.
What if Newark, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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