Individual provider Active NPI

Geetanjali Davuluri Garg, M.D.

  • Ophthalmology Physician
  • Wayne, NJ
National Provider Identifier
1477574531
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MAO9097200 Issued in NJ
Practice address
220 Hamburg Tpke Ste 7
Wayne, NJ 07470-2132
Phone
(973) 790-1300
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2633741 NY
Ophthalmology Physician 207W00000X 25MAO9097200 NJ Primary
Ophthalmology Physician 207W00000X D0064904 MD
Ophthalmology Physician 207W00000X 0101240063 VA
Ophthalmology Physician 207W00000X MD035552 DC

Addresses

Primary practice location

220 Hamburg Tpke Ste 7
Wayne, NJ 07470-2132

Mailing address

98 Chambers St
#2
New York, NY 10007-1836
Phone (212) 580-1730

Other identifiers 1

IdentifierTypeStateIssuer
411639900MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000616 NJ Practitioner - Ophthalmology 5395746226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Practice addresses (Care Compare)

220 Hamburg Tpke
Suite 7
Wayne, NJ 07470-2132
Phone (973) 790-1300

Merit-based Incentive Payment System (MIPS)

Final score
98.6 of 100Reported as group
Quality
97.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035552DCMDOphthalmology Physician
D0064904MDMDOphthalmology Physician
25MAO9097200NJMDOphthalmology Physician
2633741NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care Center, PA Ophthalmology CurrentSince Sep 15, 2012 Accepting new patients
Refocus Eye Health of NJ, P.C. CurrentSince Jul 11, 2025 Accepting new patients
Refocus Eye Health of NJ, P.C. Ophthalmology CurrentSince Jul 11, 2025 Accepting new patients
Bert M. Glaser National Retina Institute, LLC Ophthalmology Past Accepting new patients
Katzen Medical Associates, PC Ophthalmology Past Accepting new patients

Locations

3 Cooper Plz
Rm 510
Camden, NJ 08103
Phone (215) 288-5000

100 Brick Rd
Ste 115
Marlton, NJ 08053
Phone (856) 983-1400

220 Hamburg Tpke
Ste 7
Wayne, NJ 07470
Phone (973) 790-1300

300 Fairview Ave
Westwood, NJ 07675
Phone (201) 666-2150

Interoperability endpoints

  • Direct secure messaging: geetanjali.davuluri.p1@direct.nri.nextgenshare.com

Organizations & group practices 5

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1477574531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CHAMBERS ST",
            "address_2": "#2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071836",
            "telephone_number": "212-580-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE STE 7",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702132",
            "telephone_number": "973-790-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "GEETANJALI",
        "middle_name": "DAVULURI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2633741",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MAO9097200",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0064904",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101240063",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD035552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411639900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.