FREDERICK D GANGEMI (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1356446108

FREDERICK D GANGEMI (M.D.) is a healthcare provider. based in Belleville, New Jersey. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. MA04340200 (NJ). The NPI Number for FREDERICK D GANGEMI (M.D.) is 1356446108

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK D GANGEMI (M.D.)
NPI
1356446108
Phone
(973) 751-8454
Address
65 NEWARK AVE
Enumeration Date
14 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019451156
Graduation Year
1980 (46 years ago)
PAC ID
5193775161
Group Practice PAC ID
0042706731
Professional Enrollment ID
I20050127000229
Address ID
NJ070221300FA222XXBLVD301
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

589 PHYSICAL MEDICINE AND REHABILITATION in NJ

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Provider Addresses for FREDERICK D GANGEMI (M.D.)

  • 65, Newark Avenue, Bloomfield, Essex County, New Jersey, 07003, United States

    BELLEVILLE, NJ 071091135

    Phone: (973) 751-8454

    Fax: (973) 751-0071

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050127000229IPhysical Medicine And RehabilitationNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07109)

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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: 0042706731View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
C H I R O P R A C T I CNJ

Reviews

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Frequently asked questions

What NPI should I save for FREDERICK D GANGEMI (M.D.)?
Save NPI 1356446108 if you need a stable reference for FREDERICK D GANGEMI (M.D.).
Is FREDERICK D GANGEMI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does FREDERICK D GANGEMI (M.D.) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for FREDERICK D GANGEMI (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place FREDERICK D GANGEMI (M.D.)?
The snapshot lists Belleville, New Jersey for FREDERICK D GANGEMI (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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