Jason M Gilbert MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

71013 Issued in MA

Legal business name

JASON M GILBERT MD PC

Practice address

101 Main Street
Suite 208
Medford, MA 02155

Phone

(781) 395-9916

Fax

(781) 395-9960

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Jason M Gilbert, MDNPI 1962475210

Title

President

Phone

(781) 395-9916

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Jason M Gilbert MDPC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jason M. Gilbert, M.D. P.C.

  • Ophthalmology Physician
  • Medford, MA
  • NPI 1023348935
  NPD tax ID
• Jason M. Gilbert, M.D.P.C.

  • Ophthalmology Physician
  • Medford, MA
  • NPI 1801134416
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason M Gilbert, MD

  • Ophthalmology Physician
  • Medford, MA
  • NPI 1962475210
  Medicare reassignment NPD Authorized official
• Shilpa Joshi Desai, MD

  • Ophthalmology Physician
  • Cambridge, MA
  • NPI 1104112879
  Medicare reassignment NPD
• Purvi Patel, OD

  • Optometrist
  • Lawrence, MA
  • NPI 1538182852
  Medicare reassignment NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1093808495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN STREET",
            "address_2": "SUITE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "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 STREET",
            "address_2": "SUITE 208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-9916",
            "fax_number": "781-395-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M GILBERT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-04-01",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "71013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M17721",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787267",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle Bernadette Jaillet, D.M.D.
• Charlotte Jamar, LCSW
• James a Smith & David L Barrasso PTR
• Katherine James, MS, CCC-SLP, CEIS
• Laura Jansen, D.C.
• Jason M. Gilbert MDPC (Optical Advantage)
• Jason M. Gilbert, M.D. P.C.
• Jason M. Gilbert, M.D.P.C.
• Niketa Kedar Jayawant
• Sabina F Jean Blanc, DOULA

• Ophthalmology Physician in Medford, MA
• Providers in Medford, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.