Active NPI
Gytta Ehrman, OD
- Optometrist
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5683
- Practice address
- 4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632 - Phone
- (201) 797-2747
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5683 | NY | Primary |
Addresses
Primary practice location
4-14 Saddle River Rd
Suite 202
Fair Lawn, NJ 07410-5632
Mailing address
165 Grand Ave
Apt 20F
Englewood, NJ 07631-3540
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000157 | NJ | Practitioner - Optometry | 5698761526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Centers of America LLC
Practice addresses (Care Compare)
1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632
466 Old Hook Rd
Suite 24E
Emerson, NJ 07630-1368
Phone (201) 265-7515
654 Lafayette Ave
Hawthorne, NJ 07506-2435
Phone (973) 424-4400
89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 96.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.39
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | NY | MD | Optometrist |
| 005683 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Current | Accepting new patients | |
| Resident Eye Care Associates, LLC | Optometrist | Past | Accepting new patients |
Locations
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
466 Old Hook Rd
Ste 24E
Emerson, NJ 07630
Phone (201) 265-7515
654 Lafayette Ave
Hawthorne, NJ 07506
Phone (201) 265-7515
1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380
Interoperability endpoints
- gehrman@ecoa.intellechartdirect.net
Organizations & group practices 2
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.
-
- Optometrist
- Fair Lawn, NJ
- NPI 1508883307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1558366161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 GRAND AVE",
"address_2": "APT 20F",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"address_2": "SUITE 202",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-797-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRMAN",
"first_name": "GYTTA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "5683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.