Sushma Gangisetty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00716400 Issued in NJ

Practice address

300 Highway 35 Ste 300
Eatontown, NJ 07724-2216

Phone

(732) 222-7373

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgangisetty@atlanticeyephysicians.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlantic Eye Physicians, PA

  • Specialist
  • Eatontown, NJ
  • NPI 1629023551

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Atlantic Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Eatontown, NJ
  • NPI 1407801509
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1033817879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CABOT WAY",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231766",
            "telephone_number": "979-220-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHWAY 35 STE 300",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242216",
            "telephone_number": "732-222-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 White Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391166",
            "country_code": "US",
            "telephone_number": "732-222-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1963 Hwy 34 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077199777",
            "country_code": "US",
            "telephone_number": "732-222-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Commons Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077332935",
            "country_code": "US",
            "telephone_number": "732-222-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGISETTY",
        "first_name": "SUSHMA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00716400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M Gabuzda, MD
• Vaishali Nirav Gada
• Agata Elwira Galeska, CFY-SLP
• Anton Galibov, OTR
• Kirsten Gallo, PHARMD
• Erica Garcia, LPC
• Garden State Spine and Pain Institute LLC
• Gateway Care Center, LLC
• Meaghan Rose Gavan, PA-C
• Heather D Gebhardt, LPC

• Optometrist in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.

Verify at the official NPI Registry.