Individual provider Active NPI

Todd Howard Gershenow, OD

  • Optometrist
  • Manchester, NJ
National Provider Identifier
1699778316
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00519700 Issued in NJ
Practice address
1001 Route 70 Unit B1
Manchester, NJ 08759-5804
Phone
(732) 657-1400
Fax
(732) 657-1402
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27TO00000800 NJ
Optometrist 152W00000X 270A00519700 NJ Primary

Addresses

Primary practice location

1001 Route 70 Unit B1
Manchester, NJ 08759-5804

Mailing address

PO Box 208944
Dallas, TX 75320-8944
Phone (636) 200-4393

Other practice location 1

1147 Hwy 35
Middletown, NJ 07748-2605
Phone (732) 671-7300

Other practice location 2

3013 Highway 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Other practice location 3

786 Highway 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

Other practice location 4

178 Highway 35
Eatontown, NJ 07724-1883
Phone (732) 542-3050

Other practice location 5

359 Brick Blvd
Brick, NJ 08723-6010
Phone (732) 920-1330

Other practice location 6

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other practice location 7

35 Monmouth St
Red Bank, NJ 07701-1613
Phone (732) 530-5151

Other practice location 8

443 Route 34 Ste F
Matawan, NJ 07747-9506
Phone (732) 583-3600

Other identifiers 2

IdentifierTypeStateIssuer
U38901OtherNJUPIN
5293405MedicaidNJ

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
I20050808000021 NJ Practitioner - Optometry 0244275238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

786 Hwy 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00519700NJMDOptometrist
27TO00000800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Jan 30, 1995 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Jul 11, 2007 Accepting new patients
Optometric Physicians of Hazlet, PA Optometrist PastSince Dec 16, 2005 Accepting new patients
Optometric Physcians of Red Bank Optometrist Past Accepting new patients

Locations

359 Brick Blvd
Brick, NJ 08723
Phone (732) 920-1330

178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

1001 Route 70
Unit B1
Manchester, NJ 08759
Phone (732) 657-1400

1021 Route 70
Manchester, NJ 08759
Phone (732) 657-1400

443 State Route 34
Ste F
Matawan, NJ 07747
Phone (732) 583-3600

1147 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 1
Sea Girt, NJ 08750
Phone (732) 223-2800

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

Organizations & group practices 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1699778316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208944",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 70 UNIT B1",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595804",
            "telephone_number": "732-657-1400",
            "fax_number": "732-657-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1147 Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482605",
            "country_code": "US",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301526",
            "country_code": "US",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077483410",
            "country_code": "US",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241883",
            "country_code": "US",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "359 Brick Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087236010",
            "country_code": "US",
            "telephone_number": "732-920-1330",
            "fax_number": "732-920-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087502323",
            "country_code": "US",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monmouth St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011613",
            "country_code": "US",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 Route 34 Ste F",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077479506",
            "country_code": "US",
            "telephone_number": "732-583-3600",
            "fax_number": "732-812-4508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSHENOW",
        "first_name": "TODD",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00000800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00519700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U38901",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5293405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

Verify at the official NPI Registry.