Dr Hisham H Gadalla, MD - Medicare Pediatrics in Clifton, NJ

Dr Hisham H Gadalla, MD is a medicare enrolled "Pediatrics" physician in Clifton, New Jersey. His current practice location is 1135 Main Ave Fl 2, Clifton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 928-3388.

Dr Hisham H Gadalla is licensed to practice in New Jersey (license number 25MA07589300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689666257.

Contact Information

Dr Hisham H Gadalla, MD
1135 Main Ave Fl 2,
Clifton, NJ 07011-2353
(973) 928-3388
(973) 928-3388

Map and Direction




Physician's Profile

Full NameDr Hisham H Gadalla
GenderMale
SpecialityPediatrics
Location1135 Main Ave Fl 2, Clifton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689666257
  • Provider Enumeration Date: 08/18/2005
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880655190
  • Enrollment ID: I20041020000891

Medical Identifiers

Medical identifiers for Dr Hisham H Gadalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689666257NPI-NPPES
0008265MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA07589300 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hisham H Gadalla allows following entities to bill medicare on his behalf.
Entity NameFayrouz Pediatric Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154571222
PECOS PAC ID: 6002965209
Enrollment ID: O20090519000025

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hisham H Gadalla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hisham H Gadalla, MD
238 Old Wagon Rd,
Franklin Lakes, NJ 07417-1626

Ph: (973) 928-3388
Dr Hisham H Gadalla, MD
1135 Main Ave Fl 2,
Clifton, NJ 07011-2353

Ph: (973) 928-3388

Reviews and Comments


Pediatrics Doctors in Clifton, NJ

Tadeusz Jedlinski, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 50 Mount Prospect Ave, Ste.202, Clifton, NJ 07013
Phone: 973-458-0407    Fax: 973-458-0889
Katlyne Lubin, MD
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Medicare: Medicare Enrolled
Practice Location: 1135 Broad St, Clifton, NJ 07013
Phone: 888-244-5373    Fax: 973-365-3089
Jagdish Seth, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1115 Clifton Ave Ste 101, Clifton, NJ 07013
Phone: 973-250-2970    
Mirian Dolores Lugo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 344 Clifton Ave, Clifton, NJ 07011
Phone: 973-435-4545    Fax: 973-928-1899
Janette Basta,
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Medicare: Medicare Enrolled
Practice Location: 1035 Us Highway 46, Clifton, NJ 07013
Phone: 973-249-9620    
Lai Ping Lew-zeisel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 246 Clifton Ave, Clifton, NJ 07011
Phone: 973-478-9299    Fax: 973-478-9652
Dr. Deniz Burton, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 296 Clifton Ave, Clifton, NJ 07011
Phone: 973-249-8211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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