Provider Demographics
NPI:1497885941
Name:GELBER, DAVID MORDECAI (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MORDECAI
Last Name:GELBER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PITTSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-1830
Mailing Address - Country:US
Mailing Address - Phone:908-276-7708
Mailing Address - Fax:
Practice Address - Street 1:2284 SOUTH AVE
Practice Address - Street 2:SUITE 2L
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4697
Practice Address - Country:US
Practice Address - Phone:908-232-1053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3490103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ062483Medicare ID - Type UnspecifiedPSYCHOLOGIST