NPIMap

Organization Active NPI

Lawrence M Davidson M.D. P.a.

  • Ophthalmology Physician
  • Verona, NJ
National Provider Identifier
1245536952
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LAWRENCE M DAVIDSON M.D. P.A.
Practice address
825 Bloomfield Ave
Verona, NJ 07044-1366
Phone
(973) 239-4000
Fax
(973) 239-5809
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Lawrence M Davidson, M.D.
Title
President
Phone
(973) 239-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

825 Bloomfield Ave
Verona, NJ 07044-1366

Mailing address

825 Bloomfield Ave
Verona, NJ 07044-1366
Phone (973) 239-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1245536952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441366",
            "telephone_number": "973-239-4000",
            "fax_number": "973-239-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441366",
            "telephone_number": "973-239-4000",
            "fax_number": "973-239-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M DAVIDSON M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-239-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.