Icynth M Baron Gabriel, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA06275100 Issued in NJ

Practice address

1318 Vincenzo Dr
Toms River, NJ 08753-2768

Phone

(732) 341-7815

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Icynth Baron Gabriel Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Diosdado Non Medical Services LLC

  • Anatomic Pathology Physician
  • Brick, NJ
  • NPI 1588179063
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1104063064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 VINCENZO DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532768",
            "telephone_number": "732-341-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 VINCENZO DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532768",
            "telephone_number": "732-341-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON GABRIEL",
        "first_name": "ICYNTH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA06275100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ICYNTH",
            "last_name": "GABRIEL",
            "middle_name": "BARON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Barillari, LSW
• Darlene Barker
• Barnabas Behavioral Health
• Barnabas Behavioral Health
• Barnabas Behavioral Health
• Joseph Baron, M.D.
• Dane Barone, D.C
• Joan Barrett, CNS
• Barry H. Rizzo, Jr. D.C., LLC
• Alicia Bartley, PHARMD

• Anatomic Pathology & Clinical Pathology Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.