Active NPI
Gamal M Diab, M.D.
- Anesthesiology Physician
- Parsippany, NJ
National Provider Identifier
1003969387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA47466
- Practice address
- 40 Baldwin Rd
Suite 1
Parsippany, NJ 07054-2986 - Phone
- (973) 541-9101
- Fax
- (973) 541-9103
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA47466 | NJ | Primary |
Addresses
Primary practice location
40 Baldwin Rd
Suite 1
Parsippany, NJ 07054-2986
Mailing address
PO Box 569
Denville, NJ 07834-0569
Phone (973) 219-2532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424005 | Medicaid | NJ | |
| 070094 | Other | NJ | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA47466 | NJ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1003969387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 569",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078340569",
"telephone_number": "973-219-2532",
"fax_number": "973-541-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BALDWIN RD",
"address_2": "SUITE 1",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542986",
"telephone_number": "973-541-9101",
"fax_number": "973-541-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAB",
"first_name": "GAMAL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA47466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0424005",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "070094",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.