GWD of New Jersey LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GWD OF NEW JERSEY LLC

Doing business as

Precision Eye Physicians & Surgeons of New Jersey LLC

Practice address

509 Stillwells Corner Rd Ste E5
Freehold, NJ 07728-2965

Phone

(732) 431-9333

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Darvin

Title

MD/President

Phone

(732) 431-9333

Specialties & licenses 1

Addresses

Other names 1

• Precision Eye Physicians & Surgeons of New Jersey LLC Doing business as

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1255973665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWD OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "DARVIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "732-431-9333"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Eye Physicians & Surgeons of New Jersey LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kunal Gupta, M.D.,,M.B.A
• Vinod K Gupta, MD
• Isabella Gural, BCBA
• Ted Gutowski, M.D.
• Patricia Metz Guttormsen, P.T.
• Hackensack Meridian Outpatient Services, Inc. (Hackensack Meridian Rehabilitation Freehold)
• Hackensack Meridian Outpatient Services, Inc. (Hackensack Meridian Imaging Freehold)
• Hackensack Meridian Urgent Care, PC
• Brooke Haden, OTR/L
• Lance Halpern, LPC. & SCHOOL PSYCH

• Ophthalmology Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.