Irving Edelsberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00342200 Issued in NJ

Practice address

3331 Sunset Ave
Ocean, NJ 07712-4554

Phone

(732) 502-0071

Fax

(732) 869-9266

NPI assigned

Dec 15, 2005

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1124004866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-502-0071",
            "fax_number": "732-869-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-502-0071",
            "fax_number": "732-869-9266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077313306",
            "country_code": "US",
            "telephone_number": "732-905-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSBERG",
        "first_name": "IRVING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00342200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS. Gould, Henderson, Rogers, and Vaclavik LLC (Ocean Obstetric and Gynecologic Associates)
• Alicia Durett, CPRSS
• Margaret Dwyer-Anderson, LCSW
• Eastern Monmouth Physical Therapy LLC
• Robert Francis Edelhauser, D.C.
• Joan Friedman Edelsberg, MSW, LCSW
• Rebecca T Edelsberg, PSY-D
• Megan Edwards, CPNP
• Esther Ehrenreich, M.S., SLP
• Barry D Elbaum, D.D.S.

• Optometrist in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.