Provider Demographics
NPI:1750531687
Name:GELBER, STUART JOEL (OD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:JOEL
Last Name:GELBER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:STUART
Other - Middle Name:JOEL
Other - Last Name:GELBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:601 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-3119
Mailing Address - Country:US
Mailing Address - Phone:908-965-0189
Mailing Address - Fax:
Practice Address - Street 1:495 PROSPECT AVE #217
Practice Address - Street 2:ESSEX GREEN PLAZA
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-736-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00389200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist