Individual provider Active NPI

Gabrielle Cesarina Nivar, OD

  • Optometrist
  • Burlington, MA
National Provider Identifier
1699347013
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5495 Issued in MA
Practice address
83 Cambridge St Ste 1D
Burlington, MA 01803-4181
Phone
(740) 361-9532
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2736 MD
Optometrist 152W00000X 5495 MA Primary

Addresses

Primary practice location

83 Cambridge St Ste 1D
Burlington, MA 01803-4181

Mailing address

1160 Pineridge Dr
Marion, OH 43302-6789
Phone (740) 361-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2736MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Mar 21, 2025 Accepting new patients

Locations

12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303

615 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-3937

Organizations & group practices 1

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1699347013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PINERIDGE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026789",
            "telephone_number": "740-361-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 1D",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "740-361-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVAR",
        "first_name": "GABRIELLE",
        "middle_name": "CESARINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2736",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.