Individual provider Active NPI

Ankitha Murthy

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1184400103
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00724200 Issued in NJ
Practice address
123 River Dr S
Jersey City, NJ 07310-2314
Phone
(201) 222-3937
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00724200 NJ Primary

Addresses

Primary practice location

123 River Dr S
Jersey City, NJ 07310-2314

Mailing address

8 Gunther Loop
Somerset, NJ 08873-7355

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726003552 NJ Practitioner - Optometry 2769928639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NBD EyecareGroup PAC ID 1052779469, 2 clinicians

Practice addresses (Care Compare)

123 River Dr S
Jersey City, NJ 07310-2314
Phone (201) 222-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00724200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NBD Eyecare Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Meyerienzo Eyecare PA Optometrist CurrentSince Sep 10, 2023 Accepting new patients

Locations

123 River Dr S
Jersey City, NJ 07310
Phone (201) 222-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1184400103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GUNTHER LOOP",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 RIVER DR S",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102314",
            "telephone_number": "201-222-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "ANKITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00724200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.