Provider Demographics
NPI:1558445718
Name:GEM FAMILY EYECARE
Entity Type:Organization
Organization Name:GEM FAMILY EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-388-0073
Mailing Address - Street 1:1086 ST GEORGE AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2664
Mailing Address - Country:US
Mailing Address - Phone:732-388-0027
Mailing Address - Fax:
Practice Address - Street 1:1086 ST GEORGE AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2664
Practice Address - Country:US
Practice Address - Phone:732-388-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD1444332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8144508Medicaid
NJ8144508Medicaid