Individual provider Active NPI

Smita Govilla

  • Optometrist
  • New York, NY
National Provider Identifier
1043987175
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009478-01 Issued in NY
Practice address
33 W 42ND St
New York, NY 10036-8005
Phone
(212) 938-4001
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009478-01 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

33 W 42ND St
New York, NY 10036-8005

Mailing address

215 Passaic Ave Apt 8a
Passaic, NJ 07055-3610
Phone (973) 216-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211208001027 NY Practitioner - Optometry 9335539295 Reassigns benefits to 1 organization
I20220822000003 NJ Practitioner - Optometry 9335539295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

183 High St
Suite 2200
Newton, NJ 07860-9603
Phone (973) 383-6345

Merit-based Incentive Payment System (MIPS)

Final score
81.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
37.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009478NYMDCognitive & Behavioral Psychologist
TUV009478-01NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jul 1, 2021 Accepting new patients
Northwest Optometry Group, P.a. Optometrist CurrentSince Sep 8, 2022 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Eye Physicians of Sussex County CurrentSince Oct 15, 2024 Accepting new patients
Eye Physicians of Sussex County CurrentSince Oct 15, 2024 Accepting new patients
Northwest Optometry Group, P.a. Optometrist CurrentSince Sep 8, 2022 Accepting new patients

Locations

183 High St
Ste 2200
Newton, NJ 07860
Phone (201) 383-6345

183 High St
Newton, NJ 07860
Phone (973) 383-1280

117 Sparta Ave
Sparta, NJ 07871
Phone (973) 726-0669

145 State Route 183
Stanhope, NJ 07874
Phone (973) 347-8877

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

Interoperability endpoints

  • Direct secure messaging: smita.govilla.p1@direct.epsc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1043987175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PASSAIC AVE APT 8A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553610",
            "telephone_number": "973-216-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVILLA",
        "first_name": "SMITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009478-01",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.