Organization Active NPI

Dr. Alvin Stern

  • Optometrist
  • Penns Grove, NJ
National Provider Identifier
1336384262
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AO 4037 Issued in NJ
Legal business name
DR. ALVIN STERN
Practice address
75 W Main St
Penns Grove, NJ 08069-1301
Phone
(856) 299-2112
Fax
(856) 299-2147
NPI assigned
Dec 5, 2008
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Dr. Alvin I Stern, ODNPI 1003819236
Title
Optometrist
Phone
(856) 299-2112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AO 4037 NJ Primary

Addresses

Primary practice location

75 W Main St
Penns Grove, NJ 08069-1301

Mailing address

75 W Main St
Penns Grove, NJ 08069-1301
Phone (856) 299-2112

Other identifiers 1

IdentifierTypeStateIssuer
1514806MedicaidNJ

National Provider Directory

National Provider Directory

Locations

75 W Main St
Penns Grove, NJ 08069
Phone (856) 299-2112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1336384262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691301",
            "telephone_number": "856-299-2112",
            "fax_number": "856-299-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691301",
            "telephone_number": "856-299-2112",
            "fax_number": "856-299-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALVIN STERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-299-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "AO 4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penns Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.