Active NPI
Paul L Vernon, M.D.
- Ophthalmology Physician
- Mount Laurel, NJ
National Provider Identifier
1649273038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA03903900
- Practice address
- 2026 Briggs Rd
Ste B
Mount Laurel, NJ 08054-4602 - Phone
- (856) 235-1211
- Fax
- (856) 231-1149
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA03903900 | NJ | Primary |
Addresses
Primary practice location
2026 Briggs Rd
Ste B
Mount Laurel, NJ 08054-4602
Mailing address
2026 Briggs Rd
Ste B
Mount Laurel, NJ 08054-4602
Phone (856) 235-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0429309 | Medicaid | NJ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649273038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 BRIGGS RD",
"address_2": "STE B",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544602",
"telephone_number": "856-235-1211",
"fax_number": "856-231-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 BRIGGS RD",
"address_2": "STE B",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544602",
"telephone_number": "856-235-1211",
"fax_number": "856-231-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA03903900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0429309",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
- VB Counseling LLC
- Jesse Veisblatt
- Guinemose Vengesa
- Cheruvathoor Samuel Verghese, ND, PH.D.,
- Leonard Franklin Vernon, DC
- Verus Healthcare, LLC
- Vip Rheumatology
- Virtua - Memorial Hospital of Burlington County, Inc. (Virtua HomeCare Community Nursing Services)
- Virtua Home Care -Commumity Nursing Services Inc
- Virtua Medical Group, PA (Rowan Medicine Psychiatry - Mount Laurel, an affiliate of VMG)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.