Provider Demographics
NPI:1083686935
Name:SILBERT, JOEL A (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:SILBERT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 GLASSBORO RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08097-1018
Mailing Address - Country:US
Mailing Address - Phone:856-848-5388
Mailing Address - Fax:856-848-8442
Practice Address - Street 1:307 GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:WOODBURY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08097-1018
Practice Address - Country:US
Practice Address - Phone:856-848-5388
Practice Address - Fax:856-848-8442
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00341900152W00000X
NJ27TO00036200152W00000X
PAOEG000987152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2298503-01Medicaid
000541891OtherHIGHMARK BLUE SHIELD
000541891OtherHIGHMARK BLUE SHIELD
T27157Medicare UPIN
541891Medicare PIN