Active NPI
Benjamin Paul Gamss, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1205886314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003548-1
- Practice address
- 1316 Kings Hwy
Brooklyn, NY 11229-1904 - Phone
- (718) 692-1980
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003548-1 | NY | Primary |
Addresses
Primary practice location
1316 Kings Hwy
Brooklyn, NY 11229-1904
Mailing address
1421 E 14TH St
Brooklyn, NY 11230-6609
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VUT003548 | Other | NY | HIP |
| 000182604 | Other | NY | AMERICHOICE |
| 812385 | Other | NY | AETNA |
| 00491832 | Medicaid | NY | |
| 283060101 | Other | NY | HEALTH PLUS |
| 2C5969 | Other | NY | GUARDIAN HEALTH NET |
| 0091361 | Other | NY | GHI |
| 906544 | Other | NY | BLOCK VISION |
| P857739 | Other | NY | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20040325001573 | NY | Practitioner - Optometry | 3274425137 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1421 E 14TH St
Brooklyn, NY 11230-6609
4707 13TH Ave
Brooklyn, NY 11219-2602
Phone (718) 692-1980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003548-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1205886314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291904",
"telephone_number": "718-692-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMSS",
"first_name": "BENJAMIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003548-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "VUT003548",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "000182604",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "812385",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00491832",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "283060101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN HEALTH NET",
"identifier": "2C5969",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0091361",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "906544",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P857739",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.