Individual provider Active NPI

Gayle Shulman

  • Ophthalmology Physician
  • Millburn, NJ
National Provider Identifier
1689615510
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA46990 Issued in NJ
Practice address
241C Millburn Ave
Millburn, NJ 07041-1718
Phone
(973) 912-4433
Fax
(973) 912-4435
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA46990 NJ Primary

Addresses

Primary practice location

241C Millburn Ave
Millburn, NJ 07041-1718

Mailing address

PO Box 1617
Livingston, NJ 07039-7217
Phone (973) 912-4433

Other practice location 1

159 Millburn Ave
Millburn, NJ 07041-1849
Phone (973) 912-4433

Other practice location 2

166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 912-4433

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
I20040923000266 NJ Practitioner - Ophthalmology 3779551171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1984
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

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA46990NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Mar 1, 2025 Accepting new patients
Gayle S Shulman MD, LLC Ophthalmology CurrentSince Jun 16, 2003 Accepting new patients
Urology Specialty Care PA Past Accepting new patients
Cranford Ophthalmology, P.a. Ophthalmology Past Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients
Riverbank Inpatient Medical Associates LLC Past Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

241 Millburn Ave
Ste C
Millburn, NJ 07041
Phone (973) 912-4433

241C Millburn Ave
Millburn, NJ 07041
Phone (973) 202-6120

159 Millburn Ave
Millburn, NJ 07041
Phone (908) 989-0803

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

Interoperability endpoints

  • Direct secure messaging: gshulman@ecoa.intellechartdirect.net

Organizations & group practices 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1689615510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1617",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070397217",
            "telephone_number": "973-912-4433",
            "fax_number": "973-912-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241C MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "973-912-4433",
            "fax_number": "973-912-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Millburn Ave",
            "address_purpose": "LOCATION",
            "city": "Millburn",
            "state": "NJ",
            "postal_code": "070411849",
            "country_code": "US",
            "telephone_number": "973-912-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122016",
            "country_code": "US",
            "telephone_number": "973-912-4433",
            "fax_number": "973-912-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA46990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.