Individual provider Active NPI

Gini Selena Beltran, OD

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1184464869
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00727500 Issued in NJ
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000949 NJ Practitioner - Optometry 3173066974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00727500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Jul 1, 2024 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

  • Direct secure messaging: gbeltran@associneyecare.direct.eyemdemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00727500 NJ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.