Organization Active NPI

Sebrow Laser Vision PA

  • Ophthalmology Physician
  • Fair Lawn, NJ
National Provider Identifier
1346593902
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04367 Issued in NJ
Legal business name
SEBROW LASER VISION PA
Practice address
23-00 RT. 208 South
Fair Lawn, NJ 07410
Phone
(201) 797-7978
Fax
(201) 796-3937
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Osher Sebrow, MD
Title
Doctor
Phone
(201) 797-7978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA04367 NJ Primary

Addresses

Primary practice location

23-00 RT. 208 South
Fair Lawn, NJ 07410

Mailing address

23-00 RT. 208 South
Fair Lawn, NJ 07410
Phone (201) 797-7978

Other names 1

  • Park Avenue Eye MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1346593902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-00 RT. 208 SOUTH",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-7978",
            "fax_number": "201-796-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 RT. 208 SOUTH",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-7978",
            "fax_number": "201-796-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBROW LASER VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "SEBROW",
        "authorized_official_first_name": "OSHER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-797-7978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Eye MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.