SUSHMA GANGISETTY (OD) – Optometrist, NPI 1033817879

SUSHMA GANGISETTY (OD) is a healthcare provider. based in Wall township, New Jersey. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 27OA00716400 (NJ). The NPI Number for SUSHMA GANGISETTY (OD) is 1033817879

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SUSHMA GANGISETTY (OD)
NPI
1033817879
Phone
(732) 222-7373
Address
1963 Hwy 34 Ste 101
Enumeration Date
21 February 2023
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7322227373
Graduation Year
2022 (4 years ago)
PAC ID
3779020961
Group Practice PAC ID
5193774081
Professional Enrollment ID
I20240806001560
Address ID
NJ077242216EA300XX35XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,048 OPTOMETRY in NJ

Provider Addresses for SUSHMA GANGISETTY (OD)

  • 1963 Hwy 34 Ste 101

    Wall Township, NJ 077199777

    Phone: (732) 222-7373

    Type: Location

  • 100 Commons Way Ste 230

    Holmdel, NJ 077332935

    Phone: (732) 222-7373

    Type: Location

  • 180 White Rd Ste 202

    Little Silver, NJ 077391166

    Phone: (732) 222-7373

    Type: Location

  • 45 CABOT WAY

    FRANKLIN PARK, NJ 088231766

    Phone: (979) 220-8689

    Type: Mailing

  • 300 HIGHWAY 35 STE 300

    EATONTOWN, NJ 077242216

    Phone: (732) 222-7373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $771.

Total Amount is formed as General ($771) + Research ($0) + Ownership ($0) = $771.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($349).

Total Amount

$771

General + Research + Ownership

Payments

28

Total payment records

General Amount

$771

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240806001560IOptometryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193774081View full group profile
NameSpecialtyState
O P T O M E T R YNY
O P H T H A L M O L O G YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
-NJ

Reviews

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Frequently asked questions

Can I verify SUSHMA GANGISETTY (OD) with an NPI only?
You can start verification with NPI 1033817879 for SUSHMA GANGISETTY (OD), then check state licensing separately.
Can I rely on SUSHMA GANGISETTY (OD) being an active provider?
As of the registry snapshot, SUSHMA GANGISETTY (OD) is marked active.
What healthcare role does SUSHMA GANGISETTY (OD) hold?
Scheduling teams often label SUSHMA GANGISETTY (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does SUSHMA GANGISETTY (OD) serve?
SUSHMA GANGISETTY (OD)'s listing highlights Wall Township, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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