Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brad Michael Gandolfi, MD

Individual provider Plastic Surgery Physician · NPI 1003131053

Dr. Brad Michael Gandolfi, MD is a Plastic and Reconstructive Surgery in New York, New York. Graduated from Louisiana State University School of Medicine in New Orleans in 2008, 18 years ago. Practices with Hudson Plastic Surgery Nj LLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, New Jersey and New York.

Years since qualifying
18
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CA, NJ, NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 5th Ave Apt 1F
New York, NY 10003-4308
Phone: (212) 287-7211
Fax: (212) 287-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 30 N Dean St, Englewood, NJ 07631-2807 — (212) 287-7211
  • 4 W 58th St Fl 11, New York, NY 10019-2515 — (212) 355-7980
  • 905 5th Ave Ste 1c, New York, NY 10021-4156 — (212) 287-7211

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 292312-1 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 25MA10153500 (NJ)
Plastic Surgery Physician Taxonomy 208200000X · Licence 142117 (CA)

Record details

NPI number1003131053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2010
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2008 (18 years in practice)
Group practice Hudson Plastic Surgery Nj Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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