Healthcare Provider Details

I. General information

NPI: 1902105141
Provider Name (Legal Business Name): NOAH BENJAMIN SAIPE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 02/05/2022
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CENTRE DR # 1B
MONROE TOWNSHIP NJ
08831-1864
US

IV. Provider business mailing address

5 CENTRE DR # 1B
MONROE TOWNSHIP NJ
08831-1864
US

V. Phone/Fax

Practice location:
  • Phone: 609-409-2777
  • Fax: 609-409-2718
Mailing address:
  • Phone: 609-409-2777
  • Fax: 609-409-2718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number042.0013459
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number59971
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number287156
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA10948700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: