Organization Active NPI

Gilbertlahey LLC

Doing business as Jason M. Gilbert, M.D. P.C.

  • Ophthalmology Physician
  • Medford, MA
National Provider Identifier
1083170047
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GILBERTLAHEY LLC
Doing business as
Jason M. Gilbert, M.D. P.C.
Jason M. Gilbert, MD, PC
Practice address
101 Main St Ste 208
Medford, MA 02155-4530
Phone
(781) 395-9916
Fax
(781) 395-9960
NPI assigned
Feb 14, 2019
Organization subpart
Yes
Parent organization
JASON M. GILBERT, M.D. P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason M Gilbert, MD
Title
President
Phone
(781) 395-9916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

101 Main St Ste 208
Medford, MA 02155-4530

Mailing address

101 Main St Ste 208
Medford, MA 02155-4530
Phone (781) 395-9916

Other identifiers 2

IdentifierTypeStateIssuer
9787267MedicaidMD
M17721OtherMABLUE CROSS BLUE SHIELD

Other names 2

  • Jason M. Gilbert, M.D. P.C. Doing business as
  • Jason M. Gilbert, MD, PC Doing business as

National Provider Directory

National Provider Directory
Part of
Jason M Gilbert MDPC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1083170047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "781-395-9916",
            "fax_number": "781-395-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST STE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554530",
            "telephone_number": "781-395-9916",
            "fax_number": "781-395-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTLAHEY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASON M. GILBERT, M.D. P.C.",
        "enumeration_date": "2019-02-14",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-395-9916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787267",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17721",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason M. Gilbert, M.D. P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jason M. Gilbert, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.