Active NPI
William B Neusidl, M.D.
- Ophthalmology Physician
- Phillipsburg, NJ
National Provider Identifier
1881637510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA05614400
- Practice address
- 800 Coventry Dr
Phillipsburg, NJ 08865-1973 - Phone
- (908) 859-6055
- Fax
- (908) 859-2042
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA05614400 | NJ | Primary |
| Ophthalmology Physician | 207W00000X | MD033871E | PA |
Addresses
Primary practice location
800 Coventry Dr
Phillipsburg, NJ 08865-1973
Mailing address
800 Coventry Dr
Phillipsburg, NJ 08865-1973
Phone (908) 859-6055
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6647103 | Medicaid | NJ | |
| 1174936-005 | Other | CIGNA | |
| 01000186100 | Other | AMERICHOICE | |
| 38675 | Other | AETNA US HEALTHCARE | |
| OXFORD | Other | QS026 | |
| 180023101 | Other | NJ | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05614400 | NJ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1881637510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 COVENTRY DR",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651973",
"telephone_number": "908-859-6055",
"fax_number": "908-859-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COVENTRY DR",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651973",
"telephone_number": "908-859-6055",
"fax_number": "908-859-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUSIDL",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA05614400",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD033871E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6647103",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1174936-005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000186100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "38675",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QS026",
"identifier": "OXFORD",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180023101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
- Nancy Parker Neff, PT
- Neighborhood Health Services Corporation (Neighborhood Health Center - Phillipsburg)
- Michael G Nekoranik, DO
- Priyanka Nellori, M.D
- Bhavana Jala Nerella
- New Beginnings Pediatrics LLC
- New Beginnings Professional Counseling Services
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #16796)
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #10766)
- Jane Nguyen, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.