Active NPI
Gilbert Solitare, M.D.
- Clinical Medical Laboratory
- Long Branch, NJ
National Provider Identifier
1093851560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- MA26631
- Practice address
- 279 3Rd Ave
Suite 401
Long Branch, NJ 07740-6205 - Phone
- (732) 229-8711
- Fax
- (732) 229-0245
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MA26631 | NJ | Primary |
Addresses
Primary practice location
279 3Rd Ave
Suite 401
Long Branch, NJ 07740-6205
Mailing address
279 3Rd Ave
PO Box 417
Long Branch, NJ 07740-6205
Phone (732) 229-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5471800 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA26631 | NJ | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093851560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 3RD AVE",
"address_2": "PO BOX 417",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406205",
"telephone_number": "732-229-8711",
"fax_number": "732-229-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 3RD AVE",
"address_2": "SUITE 401",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406205",
"telephone_number": "732-229-8711",
"fax_number": "732-229-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLITARE",
"first_name": "GILBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NJ",
"license": "MA26631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5471800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.