Individual provider Active NPI

Kerry Mitchell Gelb, O.D.

  • Optometrist
  • Woodbridge, NJ
National Provider Identifier
1275583270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00451300 Issued in NJ
Practice address
161A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1302
Phone
(732) 855-7950
Fax
(732) 726-1735
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00451300 NJ Primary

Addresses

Primary practice location

161A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1302

Mailing address

161A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1302
Phone (732) 855-7950

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041117000080 NJ Practitioner - Optometry 9931188000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens and Vision Consultants, P.aGroup PAC ID 2466416094, 9 clinicians

Practice addresses (Care Compare)

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1485
Phone (732) 855-7950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004405NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Oct 5, 1987 Accepting new patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Sep 1, 2004 Accepting new patients
Contact Lens & Vision Consultants, Inc Optometrist Past Accepting new patients

Locations

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 855-7950

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

27 Blacksmith Rd
Ste 202
Newtown, PA 18940
Phone 2154971001108

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275583270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161A WOODBRIDGE CTR DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951302",
            "telephone_number": "732-855-7950",
            "fax_number": "732-726-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161A WOODBRIDGE CTR DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951302",
            "telephone_number": "732-855-7950",
            "fax_number": "732-726-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELB",
        "first_name": "KERRY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00451300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.