Individual provider Active NPI

Keith G Gurland, M.D.

  • Ophthalmology Physician
  • Bayonne, NJ
National Provider Identifier
1013098805
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03644300 Issued in NJ
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180001825OtherNJRRMC
2061201MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000421 NJ Practitioner - Ophthalmology 4880876606 Reassigns benefits to 1 organization
Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith Gurland MDGroup PAC ID 2769757525, 2 clinicians

Practice addresses (Care Compare)

521 Broadway
Bayonne, NJ 07002-3735
Phone (201) 339-1266

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03644300NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Gurland, M.D. CurrentSince Jul 8, 2017 Accepting new patients
Humc Opco LLC Current Accepting new patients
Specs Unlimited Inc. Ophthalmology PastSince Jul 8, 2017 Accepting new patients

Locations

521 Broadway
Bayonne, NJ 07002
Phone (201) 339-1266

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.