David Iosebashvili PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAVID IOSEBASHVILI PC

Practice address

106 Ferry STR
Newark, NJ 07105

Phone

(973) 589-7369

Fax

(973) 589-2891

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Iosebashvili, O.D.

Title

President

Phone

(973) 589-7369

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Robert J Freed, O.D.

  • Optometrist
  • North Bergen, NJ
  • NPI 1083648372
  NPD (past)
• John M Aljian, MD

  • Ophthalmology Physician
  • Hawthorne, NY
  • NPI 1447268636
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1851528772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ANDERSON AVE UNITE #28",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "973-589-7369",
            "fax_number": "973-589-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FERRY STR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-589-7369",
            "fax_number": "973-589-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID IOSEBASHVILI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "IOSEBASHVILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-7369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana N Dasilva
• Mohammad Hossein Dastjerdi, MD
• Daterra Psychotherapy and Wellness, Inc.
• Ramazi Otarovich Datiashvili
• Myrna L Datilus
• Anthony David, LMSW
• Artemio S David Jr., APN
• Rebecca Davidman, MS, OTR
• Oslyn Davidson, PHARMACIST
• Hayley Taylor Davies, PA-C

• Optometrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.