Kenneth Joel Davis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA01970800 Issued in NJ

Practice address

865 Ocean View Dr
Toms River, NJ 08753-4467

Phone

(732) 929-0577

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1952372070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 OCEAN VIEW DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534467",
            "telephone_number": "732-929-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 OCEAN VIEW DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534467",
            "telephone_number": "732-929-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENNETH",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA01970800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2795108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittani Dasilva, MS, RD
• Bruce T Daudelin, D.M.D.
• Scott Henry David, DO
• George Davidson, MD
• Joy Maureen Davis-Powlette, DDS
• Meagan M Davis, PT, MPT
• Esther Davoudi, NP
• Day Hab Solutions LLC
• Chelsea Day
• John Daya, PT

• Ophthalmology Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.