Individual provider Active NPI

Gytta Ehrman, OD

  • Optometrist
  • Fair Lawn, NJ
National Provider Identifier
1558366161
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5683 Issued in NY
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

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7315125184, 127 clinicians

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 100Reported as group
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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5683NYMDOptometrist
005683NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.