Glenn Jay Malat, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00530101 Issued in NJ

Practice address

775 Bloomfield Ave
West Caldwell, NJ 07006-6701

Phone

(973) 226-3031

Fax

(973) 226-3033

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: glenn.malat.p7@direct.grophthalmology.nextgenshare.com

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.

• Caldwell Eye Care

  • Optometrist
  • West Caldwell, NJ
  • NPI 1265364772
  NPD (past)
• Gurian Hearing & Vision Center

  • Audiologist
  • West Caldwell, NJ
  • NPI 1376607077
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386630150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RUBINO RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070068000",
            "telephone_number": "973-276-9693",
            "fax_number": "973-226-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066701",
            "telephone_number": "973-226-3031",
            "fax_number": "973-226-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAT",
        "first_name": "GLENN",
        "middle_name": "JAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00530101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "480551",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2263858",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2664631",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K4029",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Molars Pediatric Dentistry LLC
• Deborah E Lubetkin, PSY.D.
• Lutheran Social Ministries at Crane'S Mill, Inc.
• Karen L Madura, LCSW, LCADC
• Kelly Malanga
• Karen V Malinowski, PT, DPT, MS
• Victoria R Mapura, LAC
• Scott Thomas Maran, SCOTT MARAN
• Carla A Marino, M.A. CCC/SLP
• Donna Martin Martin Capozzi, MSW, LCSW

• Optometrist in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.