Active NPIIndividual providerSole proprietor

Sushma Gangisetty, OD

Optometrist in Eatontown, New Jersey

NPI Number1033817879
Practice location
300 Highway 35 Ste 300, Eatontown, NJ 07724-2216
Fax
—
Last updated
February 21, 2023

Sushma Gangisetty is an Optometrist based in Eatontown, NJ. Sushma Gangisetty practices in Eatontown, NJ and has the professional credentials of OD. The NPI Number for Sushma Gangisetty is 1033817879 and holds a License No. 27OA00716400 (NJ). The current practice location address for Sushma Gangisetty is 300 Highway 35 Ste 300, Eatontown, NJ 07724-2216 and can be reached out via phone at 732-222-7373.

Provider Profile Details

NPI Number
1033817879
Provider Name
Sushma Gangisetty
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
300 Highway 35 Ste 300, Eatontown, NJ 07724-2216
Phone Number
732-222-7373
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2023
Last Update Date
February 21, 2023
Certification Date
February 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Highway 35 Ste 300
Eatontown, NJ 07724-2216
Zip
07724-2216
Phone Number
732-222-7373
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
45 Cabot Way
Franklin Park, NJ 08823-1766
City
Franklin Park
State
NJ
Zip
08823-1766
Phone Number
979-220-8689

License Information

License Number
27OA00716400
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sushma Gangisetty, OD?

The NPI number of Sushma Gangisetty, OD is 1033817879. It was assigned on February 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Sushma Gangisetty, OD?

Sushma Gangisetty, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00716400.

Where does Sushma Gangisetty, OD practice?

The practice location is 300 Highway 35 Ste 300, Eatontown, NJ 07724-2216. The office can be reached at 732-222-7373 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033817879 directly on the NPPES registry website.

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