Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Gundell

Individual provider Physician Assistant · NPI 1205264892

Michael Gundell is a Physician Assistant in Hackettstown, New Jersey. Qualified in 2011, 15 years ago. Practices with North Jersey Sports Medicine and Orthopedic Center, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

108 Bilby Rd Ste 201
Hackettstown, NJ 07840-4174
Phone: (908) 684-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00319000 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00319000 (NJ)

Record details

NPI number1205264892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2013
Last updated in NPPESOctober 17, 2013
Mailing address108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Jersey Sports Medicine And Orthopedic Center, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hackettstown