Active NPI
Dr. Alvin Stern
- Optometrist
- Penns Grove, NJ
National Provider Identifier
1336384262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AO 4037
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alvin I Stern, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514806 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Penns Grove, NJ
- NPI 1003819236
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.