Active NPI
Keith G Gurland, M.D.
- Ophthalmology Physician
- Bayonne, NJ
National Provider Identifier
1013098805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 03644300
- Practice address
- 521 Broadway
Bayonne, NJ 07002-3735 - Phone
- (201) 339-1266
- Fax
- (201) 339-0122
- NPI assigned
- Oct 18, 2006
- Last updated
- Nov 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 03644300 | NJ | Primary |
Addresses
Primary practice location
521 Broadway
Bayonne, NJ 07002-3735
Mailing address
521 Broadway
Bayonne, NJ 07002-3735
Phone (201) 339-1266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180001825 | Other | NJ | RRMC |
| 2061201 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
521 Broadway
Bayonne, NJ 07002-3735
Phone (201) 339-1266
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03644300 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith Gurland, M.D. | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Specs Unlimited Inc. | Ophthalmology | Past | Accepting new patients |
Locations
521 Broadway
Bayonne, NJ 07002
Phone (201) 339-1266
Interoperability endpoints
- keith.gurland@direct.hobokenumc.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bayonne, NJ
- NPI 1518496843
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Ophthalmology Physician
- Bayonne, NJ
- NPI 1265674345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1013098805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023735",
"telephone_number": "201-339-1266",
"fax_number": "201-339-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023735",
"telephone_number": "201-339-1266",
"fax_number": "201-339-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURLAND",
"first_name": "KEITH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "03644300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "180001825",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.