Individual provider Active NPI

Frank C Labue, MD

  • Gastroenterology Physician
  • Manahawkin, NJ
National Provider Identifier
1114090065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA26840 Issued in NJ
Practice address
1301 Route 72 W
Suite 300
Manahawkin, NJ 08050-2417
Phone
(609) 597-6513
Fax
(609) 597-4593
NPI assigned
Nov 16, 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
Gastroenterology Physician 207RG0100X MA26840 NJ Primary

Addresses

Primary practice location

1301 Route 72 W
Suite 300
Manahawkin, NJ 08050-2417

Mailing address

1301 Route 72 W
Suite 300
Manahawkin, NJ 08050-2417
Phone (609) 597-6513

Other identifiers 5

IdentifierTypeStateIssuer
2K9221OtherNJHEALTH NET
0898129000OtherNJAMERIHEALTH
0904897OtherNJCIGNA
1461907MedicaidNJ
P00221165OtherNJRAIL ROAD MEDICARE

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

LicenseStateTypeSpecialty
MA26840NJMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114090065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W",
            "address_2": "SUITE 300",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-597-6513",
            "fax_number": "609-597-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W",
            "address_2": "SUITE 300",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-597-6513",
            "fax_number": "609-597-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUE",
        "first_name": "FRANK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA26840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K9221",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0898129000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0904897",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461907",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00221165",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, 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.