Active NPI
Gilbertlahey LLC
Doing business as Jason M. Gilbert, M.D. P.C.
- Ophthalmology Physician
- Medford, MA
National Provider Identifier
1083170047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9787267 | Medicaid | MD | |
| M17721 | Other | MA | BLUE CROSS BLUE SHIELD |
Other names 2
- Jason M. Gilbert, M.D. P.C.
- Jason M. Gilbert, MD, PC
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.