Active NPIIndividual provider

Dr. Justin Gutman, MD

Ophthalmology in Bloomfield, New Jersey

NPI Number1972823763
Practice location
1255 Broad St Ste 104, Bloomfield, NJ 07003-3061
Fax
973-707-7349
Last updated
March 10, 2022

Justin Gutman is an Ophthalmology based in Bloomfield, NJ. Justin Gutman practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Justin Gutman is 1972823763 and holds a License No. P6404 (TX). The current practice location address for Justin Gutman is 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061 and can be reached out via phone at 973-707-5632 and via fax at 973-707-7349.

Provider Profile Details

NPI Number
1972823763
Provider Name
Justin Gutman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1255 Broad St Ste 104, Bloomfield, NJ 07003-3061
Phone Number
973-707-5632
Fax Number
973-707-7349
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2010
Last Update Date
March 10, 2022
Certification Date
March 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1255 Broad St Ste 104
Bloomfield, NJ 07003-3061
Zip
07003-3061
Phone Number
973-707-5632
Fax Number
973-707-7349
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1 Corporate Dr
Wayne, NJ 07470-3112
City
Wayne
State
NJ
Zip
07470-3112
Phone Number
973-987-3380
Fax Number
973-987-3379

License Information

License Number (1)
P6404
License State (1)
TX
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
25MA10052400
License State (2)
NJ
Taxonomy (2)
Ophthalmology, Retina Specialist · 207WX0107X
License Number (4)
25MA10052400
License State (4)
NJ
Taxonomy (4)
Ophthalmology · 207W00000X · 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 Dr. Justin Gutman, MD?

The NPI number of Dr. Justin Gutman, MD is 1972823763. It was assigned on June 3, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin Gutman, MD?

Dr. Justin Gutman, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in TX under license number P6404.

Where does Dr. Justin Gutman, MD practice?

The practice location is 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061. The office can be reached at 973-707-5632 (phone) or 973-707-7349 (fax).

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 1972823763 directly on the NPPES registry website.

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