Active NPI
Martin Schub MD PA
- Ophthalmology Physician
- Englewood, NJ
National Provider Identifier
1104965045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MA021706
- Legal business name
- MARTIN SCHUB MD PA
- Practice address
- 245 Engle Street
Englewood, NJ 07631-2465 - Phone
- (201) 569-3434
- Fax
- (201) 568-4233
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Schub, MD
- Title
- Ophthalmologist
- Phone
- (201) 569-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA021706 | NJ | Primary |
Addresses
Primary practice location
245 Engle Street
Englewood, NJ 07631-2465
Mailing address
245 Engle Street
Englewood, NJ 07631-2465
Phone (201) 569-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2880504 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1104965045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 ENGLE STREET",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312465",
"telephone_number": "201-569-3434",
"fax_number": "201-568-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 ENGLE STREET",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312465",
"telephone_number": "201-569-3434",
"fax_number": "201-568-4233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN SCHUB MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "SCHUB",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "201-569-3434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA021706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2880504",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.