Individual provider Active NPI

Reena Gupta, MD

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1144587544
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266848 Issued in MA
Practice address
1101 Beacon St
Brookline, MA 02446
Phone
(617) 566-0062
Fax
(617) 734-3264
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 266848 MA Primary

Addresses

Primary practice location

1101 Beacon St
Brookline, MA 02446

Mailing address

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 566-0062

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
I20200604000227 NJ Practitioner - Ophthalmology 5991091159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Phillips Eye Center PA Ophthalmology PastSince Jan 1, 2001 Accepting new patients
Essex Specialized Surgical Institute LLC Past Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients
Omni Eye Surgery of New York PC Ophthalmology Past Accepting new patients

Locations

619 River Dr
Fl 2
Elmwood Park, NJ 07407
Phone (201) 796-2020

619 River Dr
#2
Elmwood Park, NJ 07407
Phone (201) 796-2020

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

1 Wilson Dr
Sparta, NJ 07871
Phone (929) 260-0026

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (908) 341-2629

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

475 Prospect Ave
Ste 2
West Orange, NJ 07052
Phone (973) 325-6734

Interoperability endpoints

  • Direct secure messaging: reena.gupta.p1@direct.omnieyeservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1144587544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-566-0062",
            "fax_number": "617-734-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-566-0062",
            "fax_number": "617-734-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "REENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "266848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.