Active NPI
Jason M. Gilbert, M.D. P.C.
- Ophthalmology Physician
- Medford, MA
National Provider Identifier
1023348935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JASON M. GILBERT, M.D. P.C.
- Practice address
- 101 Main St
Suite 208
Medford, MA 02155-4540 - Phone
- (781) 395-9916
- NPI assigned
- Dec 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda M. McCormack
- Title
- Office Manager
- Phone
- (781) 395-9916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA | Primary |
Addresses
Primary practice location
101 Main St
Suite 208
Medford, MA 02155-4540
Mailing address
101 Main St
Suite 208
Medford, MA 02155-4540
Phone (781) 395-9916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9787267 | Medicaid | MA | |
| M17721 | Other | MASSASCHUSETTS BLUE SH IELD PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Jason M Gilbert MDPC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Medford, MA
- NPI 1093808495
-
- Ophthalmology Physician
- Medford, MA
- NPI 1801134416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262044800000",
"number": "1023348935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 208",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-395-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 208",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-395-9916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON M. GILBERT, M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-29",
"last_updated": "2009-12-29",
"status": "A",
"authorized_official_last_name": "MCCORMACK",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "781-395-9916",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9787267",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSASCHUSETTS BLUE SH IELD PROVIDER NUMBER",
"identifier": "M17721",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.