Gail M Blumenthal OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00395300 Issued in NJ

Legal business name

GAIL M BLUMENTHAL OD PA

Practice address

17 Grand Ave
Englewood, NJ 07631-3508

Phone

(201) 894-1400

Fax

(201) 894-0220

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gail M Blumenthal, OD

Title

President

Phone

(201) 894-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan G Busby, OD

  • Optometrist
  • Bergenfield, NJ
  • NPI 1760653331
  NPD (past)
• Donald Dean-Rusk Guerrier, O.D

  • Optometrist
  • Newark, NJ
  • NPI 1093934465
  NPD (past)
• Kerlyne E Guerrier, O.D.

  • Optometrist
  • Brick, NJ
  • NPI 1013962083
  NPD (past)
• Sonia Martinez, LDO

  • Optician
  • Newark, NJ
  • NPI 1306257076
  NPD (past)
• Diego Xavier Morillo, OD

  • Optometrist
  • Newark, NJ
  • NPI 1811059785
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1154591352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313508",
            "telephone_number": "201-894-1400",
            "fax_number": "201-894-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313508",
            "telephone_number": "201-894-1400",
            "fax_number": "201-894-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL M BLUMENTHAL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-894-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00395300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE SHIELD",
            "identifier": "224026220",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdiel Lenin Fuentes Funez, PA-C
• Carmen Fuentes, RN, IBCLC
• Sidni B Jay Fullerton, M.D
• G&D Surgical and Drug Co Inc
• Chana Gable-Selmon, MD
• Richard Gaimo, BA
• Kenyon Gale, MD
• Jan David Galla, MD
• Theresa E. Galla, P.A.
• Samantha Shanice Gallimore, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.