Active NPIIndividual provider

Heenal Gandhi, PA

Physician Assistant in Newark, New Jersey

NPI Number1902546468
Practice location
1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323
Fax
617-928-8401
Last updated
May 13, 2026

Heenal Gandhi is a Physician Assistant based in Newark, NJ. Heenal Gandhi practices in Newark, NJ and has the professional credentials of PA. The NPI Number for Heenal Gandhi is 1902546468 and holds a License No. 25MP00688500 (NJ). The current practice location address for Heenal Gandhi is 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.

Provider Profile Details

NPI Number
1902546468
Provider Name
Heenal Gandhi
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323
Phone Number
617-505-1520
Fax Number
617-928-8401
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2022
Last Update Date
May 13, 2026
Certification Date
May 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
City
Newark
Zip
07102-5323
Phone Number
617-505-1520
Fax Number
617-928-8401
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
109 State St Ste 5
Boston, MA 02109-2906
City
Boston
State
MA
Zip
02109-2906
Phone Number
617-505-1520
Fax Number
617-928-8401

License Information

License Number
25MP00688500
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heenal Gandhi, PA?

The NPI number of Heenal Gandhi, PA is 1902546468. It was assigned on March 31, 2022 and is currently active in the NPPES registry.

What is the specialty of Heenal Gandhi, PA?

Heenal Gandhi, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00688500.

Where does Heenal Gandhi, PA practice?

The practice location is 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902546468 directly on the NPPES registry website.

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