Individual provider Active NPI

Martin Jablow, DMD

  • General Practice Dentistry
  • Woodbridge, NJ
National Provider Identifier
1063431369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15704 Issued in NJ
Practice address
135 Green St
Woodbridge, NJ 07095-2961
Phone
(732) 636-3434
Fax
(732) 636-7487
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI15704 NJ Primary

Addresses

Primary practice location

135 Green St
Woodbridge, NJ 07095-2961

Mailing address

135 Green St
Woodbridge, NJ 07095-2961
Phone (732) 636-3434

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI15704NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Nepo,DDS,PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063431369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GREEN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952961",
            "telephone_number": "732-636-3434",
            "fax_number": "732-636-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GREEN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952961",
            "telephone_number": "732-636-3434",
            "fax_number": "732-636-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLOW",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.