Individual provider Active NPI

Petranella Mhando, OD

  • Optometrist
  • Bayonne, NJ
National Provider Identifier
1336027903
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00738900 Issued in NJ
Practice address
802 Bayonne Crossing Way
Bayonne, NJ 07002-5308
Phone
(201) 858-5615
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00738900 NJ Primary

Addresses

Primary practice location

802 Bayonne Crossing Way
Bayonne, NJ 07002-5308

Mailing address

802 Bayonne Crossing Way
Bayonne, NJ 07002-5308

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
I20250909003537 NJ Practitioner - Optometry 8426551227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

1255 Broad St
Bloomfield, NJ 07003-3000
Phone (973) 338-7575

1255 Raritan Rd
Unit 740
Clark, NJ 07066-1264
Phone (732) 388-4035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD, PA Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Charles M. Cummins, OD., PA Optometrist Current Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Aug 25, 2025 Accepting new patients

Locations

802 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 858-5615

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035

251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300

125 18th St
Ste A5
Jersey City, NJ 07310
Phone (551) 276-5462

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1336027903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025308",
            "telephone_number": "201-858-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHANDO",
        "first_name": "PETRANELLA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00738900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.