Active NPI
Ted Michael Gerszberg, M.D.
- Ophthalmology Physician
- Montville, NJ
National Provider Identifier
1225075237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA05939400
- Practice address
- 150 River Rd
Suite C-2
Montville, NJ 07045-9441 - Phone
- (973) 402-9200
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA05939400 | NJ | Primary |
Addresses
Primary practice location
150 River Rd
Suite C-2
Montville, NJ 07045-9441
Mailing address
150 River Rd
Suite C-2
Montville, NJ 07045-9441
Phone (973) 402-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6063501 | Medicaid | NJ | |
| IS416 | Other | OXFORD HEALTH PLAN | |
| 507659 | Other | AETNA | |
| 0657744000 | Other | AMERIHEALTH | |
| 0K5124 | Other | HEALTHNET |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041130000019 | NJ | Practitioner - Ophthalmology | 9830154079 | Practice locations: Montville, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05939400 | NJ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1225075237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 RIVER RD",
"address_2": "SUITE C-2",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459441",
"telephone_number": "973-402-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 RIVER RD",
"address_2": "SUITE C-2",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459441",
"telephone_number": "973-402-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSZBERG",
"first_name": "TED",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA05939400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6063501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "IS416",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "507659",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0657744000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0K5124",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Montville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.