Contents


Board Certification (Optional. If completed, the information provided will be made public)



Medical Doctors/Podiatrists: Board Certifications reported by an outside source (ABMS, AOA, ABPS, ACOE and ABPOPPM recognized boards).


Optometrists: Certifications reported by the New Jersey State Board of Optometrists. This certification was issued by the New Jersey State Board of Optometrists
  • Review the pre-printed data.
  • If there is a discrepancy with the certification information, 
    please contact the New Jersey State Board of Medical Examiners at PO Box 183 Trenton NJ 08625 or New Jersey State Board of Optometrists at PO Box 45012, Newark, NJ 07101.
  • If you do not wish for this information to be displayed to the public, click on the box to the right. (Click on the box again to de-select).


    Self-Reported Board Certification (Optional. If completed, the information provided will be made public)
    Enter the following data:
  • Name of Board Enter the name of issuing entity.
  • Specialty/Subspecialty Enter the specialty/subspecialty for which you are certified.
  • Year of Certification Enter year (Example: 2015)
  • Year of Expiration Enter year (Example: 2015)

    To add an additional certification, 
  • click on 'Click here to add additional certifications' button, and proceed as above. (You may add multiple certifications.)



    When finished, click one of the buttons at the bottom of the screen:
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  • Save & stop for now
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