NPIMap

Organization Active NPI

New GW LLC

  • Ophthalmology Physician
  • East Brunswick, NJ
National Provider Identifier
1508375353
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07781000 Issued in NJ
Legal business name
NEW GW LLC
Practice address
385 Route 18
Unit H
East Brunswick, NJ 08816-5703
Phone
(732) 698-9300
Fax
(732) 254-0786
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mr. Eric Andrew Gershenbaum, MDNPI 1548227309
Title
Owner
Phone
(732) 431-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA07781000 NJ Primary

Addresses

Primary practice location

385 Route 18
Unit H
East Brunswick, NJ 08816-5703

Mailing address

385 Route 18 Ste H
East Brunswick, NJ 08816-5703
Phone (732) 698-9300

Other names 1

  • The Witlin Center for Advanced eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118000190 NJ Part B Supplier - Clinic/Group Practice 3476812561 Receives reassigned benefits from 11 practitioners
Practice locations: East Brunswick, NJ; Morristown, NJ; Toms River, NJ

National Provider Directory

National Provider Directory
Tax ID family
New GW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724
Phone (732) 458-5700

385 Route 18
East Brunswick, NJ 08816
Phone (732) 238-4343

385 State Route 18
#35H
East Brunswick, NJ 08816

886 Commons Way
Ste H
Toms River, NJ 08755

20 Hospital Dr
Ste 6
Toms River, NJ 08755
Phone (732) 349-7167

886 Commons Way
Toms River, NJ 08755
Phone (732) 341-9696

Interoperability endpoints

  • Direct secure messaging: rdesai@gwd.intellechartdirect.net
  • Direct secure messaging: tkhan@gwd.intellechartdirect.net
  • Direct secure messaging: dlyons@gwd.intellechartdirect.net
  • Direct secure messaging: csica@gwd.intellechartdirect.net
  • Direct secure messaging: fparisi@gwd.intellechartdirect.net
  • Direct secure messaging: bkanengiser@gwd.intellechartdirect.net
  • Direct secure messaging: channa@gwd.intellechartdirect.net
  • Direct secure messaging: rnaadimuthu@gwd.intellechartdirect.net
  • Direct secure messaging: kdarvin@gwd.intellechartdirect.net
  • Direct secure messaging: abauza@gwd.intellechartdirect.net
  • Direct secure messaging: spatel@gwd.intellechartdirect.net
  • Direct secure messaging: czakhary@gwd.intellechartdirect.net
  • Direct secure messaging: jqu@gwd.intellechartdirect.net
  • Direct secure messaging: jgerard@gwd.intellechartdirect.net
  • Direct secure messaging: egershenbaum@gwd.intellechartdirect.net
  • Direct secure messaging: kworthington@gwd.intellechartdirect.net
  • Direct secure messaging: lcolicchio@gwd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1508375353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUTE 18 STE H",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-698-9300",
            "fax_number": "732-254-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ROUTE 18",
            "address_2": "UNIT H",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-698-9300",
            "fax_number": "732-254-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "GERSHENBAUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-431-9333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07781000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Witlin Center for Advanced eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Witlin Center for Advanced eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.