Individual provider Active NPI

David Gubman, OD

  • Corneal and Contact Management Optometrist
  • Voorhees, NJ
National Provider Identifier
1902832934
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OA0005166 Issued in NJ
Practice address
2 Sheppard Rd
Ste 303
Voorhees, NJ 08043-4787
Phone
(856) 751-0220
Fax
(856) 751-0222
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OA0005166 NJ Primary

Addresses

Primary practice location

2 Sheppard Rd
Ste 303
Voorhees, NJ 08043-4787

Mailing address

2 Sheppard Rd
Ste 303
Voorhees, NJ 08043-4787
Phone (856) 751-0220

Other identifiers 5

IdentifierTypeStateIssuer
501029OtherAETNA
5300100MedicaidNJ
550480004OtherCIGNA
170369OtherNJHORIZON BC/BS
0759379000OtherAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001140 NJ Practitioner - Optometry 8820026628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Sheppard Rd
Voorhees, NJ 08043-4670
Phone (856) 558-7303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA0005166NJMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gubman Eye Associates, PA CurrentSince Jul 10, 1995 Accepting new patients

Locations

303 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 558-7303

307 Glassboro Rd
Ste 2
Woodbury, NJ 08097
Phone (856) 848-5388

Interoperability endpoints

  • Direct secure messaging: drgubman@eyeandsightcenter.eyefinity-direct.com

Organizations & group practices 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1902832934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHEPPARD RD",
            "address_2": "STE 303",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434787",
            "telephone_number": "856-751-0220",
            "fax_number": "856-751-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHEPPARD RD",
            "address_2": "STE 303",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434787",
            "telephone_number": "856-751-0220",
            "fax_number": "856-751-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "OA0005166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "501029",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5300100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "550480004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "170369",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0759379000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.