DR. JUSTIN GUTMAN M.D.
NPI 1972823763
Ophthalmology in Bloomfield, NJ

Q: What is Justin Gutman's NPI number?

The NPI number for Justin Gutman is 1972823763. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Q: What is Justin Gutman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Gutman was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment

90.79/100

CMS Quality Rating

1255 BROAD ST STE 104, BLOOMFIELD, NJ 07003(973) 707-5632(973) 707-7349 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Oct 30, 2019 (2 updates tracked since 2019).

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About Dr. Justin Gutman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN GUTMAN M.D. (NPI 1972823763) is an individual ophthalmology provider in Bloomfield, New Jersey, licensed in New Jersey (25MA10052400) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1972823763

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JUSTIN GUTMANCredential: M.D.

Location Address1255 BROAD ST STE 104Bloomfield, NJ 07003-3061

Mailing Address1 Corporate DrWayne, NJ 07470-3112 · (973) 987-3380 · Fax (973) 987-3379

Phone(973) 707-5632

Fax(973) 707-7349

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 3, 2010

Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1972823763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NJ · 25MA10052400✔ Licensed in TX · P6404

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 25MA10052400 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1255 BROAD ST STE 104, Bloomfield, NJ 07003

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Secondary Practice Locations 5

Location 11095 Morris Ave Ste 103AUnion, NJ 07083-7170 · Phone (908) 312-1001 · Fax (908) 312-1005

Location 21086 Teaneck Rd Ste 2ATeaneck, NJ 07666-4858 · Phone (201) 871-3414 · Fax (201) 871-4830

Location 3500 N Franklin Tpke Ste 205Ramsey, NJ 07446-1160 · Phone (201) 962-9396 · Fax (201) 474-7048

Location 46121 Kennedy Blvd Ste 1North Bergen, NJ 07047-3483 · Phone (201) 766-5151 · Fax (201) 766-5154

Location 51 Corporate DrWayne, NJ 07470-3112 · Phone (973) 987-3380 · Fax (973) 987-3379

Other Identifiers 1

Medicaid579530NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Gutman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193968196

PECOS Enrollment IDI20170717003139

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

35,821 services139 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,330 services889 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

2,209 services856 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,460 services293 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

1,216 services73 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

819 services444 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

706 services437 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

325 services188 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

288 services45 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

218 services78 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

205 services141 patients

Imaging of front third of eye using a special camera after injection of a dye 92287

This procedure involves capturing images of the front part of your eye. A special camera is used for this purpose. Prior to the imaging, a dye is injected to highlight the structures of the eye. This helps in better diagnosis and treatment planning.

150 services105 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

77 services30 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

64 services54 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

56 services56 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

53 services42 patients

Destruction of growth of retina using a laser 67210

This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.

39 services28 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

32 services27 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

16 services13 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.51

Promoting Interoperability

100

Improvement Activities

Cost

69.8

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…

100%100 patients5/55-star benchmark: 100%

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…

100%100 patients5/55-star benchmark: 100%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%153 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%561 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%78 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

98%218 patients4/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%218 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYE CENTERS OF AMERICA, LLC

Optometrist

1255 BROAD ST STE 104
BLOOMFIELD, NJ 07003

Essex County (973) 707-7057

DR. ADNAN M. MALLICK MD

Ophthalmology

1255 BROAD ST STE 104
BLOOMFIELD, NJ 07003

Essex County (973) 707-5632

EYE CENTERS OF AMERICA, LLC

Ophthalmology

1255 BROAD ST STE 104
BLOOMFIELD, NJ 07003

Essex County (973) 707-5632

LEE M ANGIOLETTI M.D.

Ophthalmology

1255 BROAD ST STE 104
BLOOMFIELD, NJ 07003

Essex County (973) 707-5632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Gutman's NPI number?

The NPI number for Justin Gutman is 1972823763. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Justin Gutman located?

Justin Gutman practices at 1255 Broad St Ste 104, Bloomfield, NJ 07003. The listed phone number is (973) 707-5632.

What is Justin Gutman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Justin Gutman enrolled in Medicare?

Yes. Justin Gutman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Gutman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Justin Gutman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Gutman affiliated with any hospitals?

According to CMS data, Justin Gutman is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Gutman was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.