Organization Active NPI

Dr. S.B. Bregman, LLC

  • Optometrist
  • Maplewood, NJ
National Provider Identifier
1255387262
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4224 Issued in NJ
Legal business name
DR. S.B. BREGMAN, LLC
Practice address
2115 Millburn Ave
Maplewood, NJ 07040-3724
Phone
(973) 763-5525
Fax
(973) 763-7541
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Sally Beth Bregman, O.D.
Title
Optometrist
Phone
(973) 763-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4224 NJ Primary

Addresses

Primary practice location

2115 Millburn Ave
Maplewood, NJ 07040-3724

Mailing address

2115 Millburn Ave
Maplewood, NJ 07040-3724
Phone (973) 763-5525

National Provider Directory

National Provider Directory

Locations

2115 Millburn Ave
Ste 104
Maplewood, NJ 07040
Phone (973) 763-5525

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1255387262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "973-763-5525",
            "fax_number": "973-763-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "973-763-5525",
            "fax_number": "973-763-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S.B. BREGMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "BREGMAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-763-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.