Active NPI
Gayle B. Elbaum, DDS
- Endodontics
- Ocean, NJ
National Provider Identifier
1104924489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DI 17277
- Practice address
- 1398 State Route 35
Ocean, NJ 07712-3543 - Phone
- (732) 531-9200
- Fax
- (732) 531-3006
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DI 17277 | NJ | Primary |
Addresses
Primary practice location
1398 State Route 35
Ocean, NJ 07712-3543
Mailing address
1398 State Route 35
Ocean, NJ 07712-3543
Phone (732) 531-9200
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI 17277 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104924489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 STATE ROUTE 35",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123543",
"telephone_number": "732-531-9200",
"fax_number": "732-531-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 STATE ROUTE 35",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123543",
"telephone_number": "732-531-9200",
"fax_number": "732-531-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBAUM",
"first_name": "GAYLE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "DI 17277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
- Joan Friedman Edelsberg, MSW, LCSW
- Rebecca T Edelsberg, PSY-D
- Megan Edwards, CPNP
- Esther Ehrenreich, M.S., SLP
- Barry D Elbaum, D.D.S.
- Jeffrey C Elbaum, D.D.S.
- Elbaum, Krost & Elbaum, DDS, PA (Center for Oral and Maxillofacial Surgery)
- Christopher Eleazar, P.T., D.P.T.
- Rachel Elice
- Elite Mobility LLC
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.