Individual provider Active NPI

Lawrence J. Gelber, M.D.

  • Diagnostic Radiology Physician
  • Chatham, NJ
National Provider Identifier
1346202009
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04360500 Issued in NJ
Practice address
97 Main St
Chatham, NJ 07928-2421
Phone
(973) 635-2000
Fax
(973) 635-1749
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA04360500 NJ Primary

Addresses

Primary practice location

97 Main St
Chatham, NJ 07928-2421

Mailing address

PO Box 12417
Hauppauge, NY 11788-0513
Phone (973) 635-2000

Other identifiers 1

IdentifierTypeStateIssuer
1165101MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04360500NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Teaneck Inc. Past Accepting new patients
Chatham Medical Resources, Inc Diagnostic Radiology Past Accepting new patients
Summit Anesthesia Associates PA Past Accepting new patients
Teaneck Radiology Center LLC PastSince Sep 1, 2009 Accepting new patients
Chatham Medical Resources, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1346202009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12417",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880513",
            "telephone_number": "973-635-2000",
            "fax_number": "973-635-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282421",
            "telephone_number": "973-635-2000",
            "fax_number": "973-635-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBER",
        "first_name": "LAWRENCE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04360500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.