Alisa S Newman-Silberman

Individual provider Active NPI Optometrist · Matawan, NJ

NPI 1255412524 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255412524
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
4870 (NJ)
Practice address
349G Matawan Rd
Matawan, NJ 07747-3907
Phone
(732) 583-2805
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4870NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Source, LTD. Optometrist Past Accepting new patients
Matawan Vision Associates,PA Optometrist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4870 NJ Yes

Addresses

Primary practice location

349G Matawan Rd
Matawan, NJ 07747-3907

Mailing address

349G Matawan Rd
Matawan, NJ 07747-3907

Other providers in Matawan, NJ

All providers in Matawan, NJ · Optometrist in New Jersey

Sources for this page

Verify at the official NPI Registry.