Nivan Phillips Gendy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00621300 Issued in NJ

Practice address

290 State Route 18
East Brunswick, NJ 08816-1995

Phone

(732) 387-1060

NPI assigned

Aug 28, 2009

Last updated

May 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nivan Phillips Former name

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

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NJ Eye Care LLC

  • Optometrist
  • East Brunswick, NJ
  • NPI 1992151716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1598998239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 STATE ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161995",
            "telephone_number": "732-387-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 STATE ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161995",
            "telephone_number": "732-387-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDY",
        "first_name": "NIVAN",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00621300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE BOARD OF OPTOMETRY",
            "identifier": "27OA00621300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIVAN",
            "last_name": "PHILLIPS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moneka I Gawargi, RPH
• Kevin Gazzale, PA
• Leonid Gefon, D.D.S.
• Toby Alan Geller, MD
• Vyacheslav Gendel, M.D.
• George S. Azer MD Inc
• Valentina George, MS CCC-SLP
• Dawn Ann Gerdes, MS, RN, APN-C
• Alison Winter Germadnig, OTR/L
• Ggi Health LLC

• Optometrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.