Justin Gutman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA10052400 Issued in NJ

Practice address

1255 Broad St Ste 104
Bloomfield, NJ 07003-3061

Phone

(973) 707-5632

Fax

(973) 707-7349

NPI assigned

Jun 3, 2010

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

James E. Haberman, M.D., P.a.Group PAC ID 8224084322, 5 clinicians

Morristown Eye Consultants PAGroup PAC ID 8729016860, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

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

Merit-based Incentive Payment System (MIPS)

Final score

84.15 of 100Reported as group

Quality

78.69

Improvement activities

40

Cost

75.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.gutman.1@3162.direct.athenahealth.com
• Direct secure messaging: justing@eyecaremdnj.emadirect.md

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.

• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• James E. Haberman, M.D., P.a.

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1902937576
  Medicare reassignment Care Compare group NPD
• Morristown Eye Consultants PA

  • Specialist
  • Morristown, NJ
  • NPI 1053457275

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Eye Centers of America, LLC

  • Optometrist
  • Bloomfield, NJ
  • NPI 1346873320
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1972823763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703112",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033061",
            "telephone_number": "973-707-5632",
            "fax_number": "973-707-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Kennedy Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473483",
            "country_code": "US",
            "telephone_number": "201-766-5151",
            "fax_number": "201-766-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664858",
            "country_code": "US",
            "telephone_number": "201-871-3414",
            "fax_number": "201-871-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-962-9396",
            "fax_number": "201-474-7048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Morris Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837170",
            "country_code": "US",
            "telephone_number": "908-312-1001",
            "fax_number": "908-312-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703112",
            "country_code": "US",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P6404",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10052400",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA10052400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579530",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgutman@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "1255 Broad St Ste 104",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendy Lynn Grossman, DPM
• Emilio Anthony Grugnale, D.C.
• Michael Guglielmino, LCSW
• Mary Guillermain
• Emma Gunther
• Hackensack University Medical Cener
• Dulce Bolivar Haley, LCSW BCD
• Annmarie Halpin, DMD
• Georgette B Hamwi
• Rimoun K Hanna, PT, DPT

• Ophthalmology Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.