Active NPI
Gerald Silverman, OD
- Optometrist
- Elizabeth, NJ
National Provider Identifier
1265460927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00261300
- Practice address
- 175 Elmora Ave
Elizabeth, NJ 07202 - Phone
- (908) 352-6390
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00261300 | NJ | Primary |
Addresses
Primary practice location
175 Elmora Ave
Elizabeth, NJ 07202
Mailing address
3 Gramercy Rd
Old Bridge, NJ 08857
Phone (732) 679-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0688509 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00261300 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265460927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GRAMERCY RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "08857",
"telephone_number": "732-679-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 ELMORA AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07202",
"telephone_number": "908-352-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "GERALD",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00261300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0688509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, 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.