Individual provider Active NPI

Joel A. Silbert, O.D.

  • Optometrist
  • Woodbury Heights, NJ
National Provider Identifier
1083686935
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27TO00036200 Issued in NJ
Practice address
307 Glassboro Rd
Woodbury Heights, NJ 08097-1018
Phone
(856) 848-5388
Fax
(856) 848-8442
NPI assigned
Feb 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00341900 NJ
Optometrist 152W00000X 27TO00036200 NJ Primary
Optometrist 152W00000X OEG000987 PA

Addresses

Primary practice location

307 Glassboro Rd
Woodbury Heights, NJ 08097-1018

Mailing address

307 Glassboro Rd
Woodbury Heights, NJ 08097-1018
Phone (856) 848-5388

Other identifiers 2

IdentifierTypeStateIssuer
2298503-01MedicaidNJ
000541891OtherHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27TO00036200NJMDOptometrist
OEG000987PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1083686935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GLASSBORO RD",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971018",
            "telephone_number": "856-848-5388",
            "fax_number": "856-848-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GLASSBORO RD",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971018",
            "telephone_number": "856-848-5388",
            "fax_number": "856-848-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERT",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00341900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00036200",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2298503-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000541891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.