Active NPI
Gini Selena Beltran, OD
- Optometrist
- Springfield, NJ
National Provider Identifier
1184464869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00727500
- Practice address
- 155 Morris Ave
Springfield, NJ 07081-1225 - Phone
- (973) 232-6900
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
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.
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621000949 | NJ | Practitioner - Optometry | 3173066974 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00727500 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corey M. Notis, M.D., P.a. | Optometrist | Current | Accepting new patients |
| Corey M. Notis, M.D., P.a. | Optometrist | Current | Accepting new patients |
Locations
155 Morris Ave
Ste 302
Springfield, NJ 07081
Phone (973) 232-6900
155 Morris Ave
Springfield, NJ 07081
Phone (973) 232-6900
900 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-9330
Interoperability endpoints
- gbeltran@associneyecare.direct.eyemdemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00727500 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
155 Morris Ave
Springfield, NJ 07081-1225
Mailing address
1214 Kirkman PL
Union, NJ 07083-3818
Phone (908) 956-3902
Other practice location 1
900 Stuyvesant Ave
Union, NJ 07083-6936
Phone (908) 687-0330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2024.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1184464869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 KIRKMAN PL",
"city": "UNION",
"state": "NJ",
"postal_code": "070833818",
"telephone_number": "908-956-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MORRIS AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811225",
"telephone_number": "973-232-6900"
}
],
"practiceLocations": [
{
"address_1": "900 Stuyvesant Ave",
"address_purpose": "LOCATION",
"city": "Union",
"state": "NJ",
"postal_code": "070836936",
"country_code": "US",
"telephone_number": "908-687-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELTRAN",
"first_name": "GINI",
"middle_name": "SELENA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00727500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.