GLENN JAY MALAT O.D. NPI 1386630150

NPI Information

  • NPI: 1386630150
  • Provider Name: GLENN JAY MALAT, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 775 BLOOMFIELD AVE
    WEST CALDWELL, NJ
    ZIP 07006
  • Phone: (973) 226-3031

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NPI Details

Glenn Jay Malat, O.D. is an optometrist in West Caldwell, NJ with 32 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Glenn Jay Malat, O.D. NPI is 1386630150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:1994

The provider's business location address is:

775 BLOOMFIELD AVE
WEST CALDWELL, NJ
ZIP 07006-701
Phone: (973) 226-3031
Fax: (973) 226-3033

The NPI 1386630150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Photography of the retina (HCPCS:92250)
  • Photography of content of eyes (HCPCS:92285)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Imaging of retina (HCPCS:92134)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation of eye adaptation to light and dark (HCPCS:92284)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Exam of visual field with extended testing (HCPCS:92083)

The enumeration date for this NPI number is 9/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist270A00530101NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1056918MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
22263858OTHERNEW JERSEYUNITED HEALTHCARE
3480551OTHERNEW JERSEYAETNA
42K4029OTHERNEW JERSEYHEALTH NET
5P2664631OTHERNEW JERSEYOXFORD
6U89861MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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