Active NPI
Mitchell Jablons, MD
- Anesthesiology Physician
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA04398100
- Practice address
- 33 Overlook Rd
Ste 311
Summit, NJ 07901-3570 - Phone
- (908) 598-1500
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA04398100 | NJ | Primary |
Addresses
Primary practice location
33 Overlook Rd
Ste 311
Summit, NJ 07901-3570
Mailing address
PO Box 48078
Newark, NJ 07101-4878
Other practice location 1
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0381209 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny NJ Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Summit Anesthesia Associates PA | Anesthesiology | Past | Accepting new patients |
| Trinitas Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Locations
1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060
2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Wyckoff, NJ
- NPI 1396299582
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Summit, NJ
- NPI 1033198304
-
- Anesthesiology Physician
- Elizabeth, NJ
- NPI 1013988054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1164483418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48078",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071014878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD",
"address_2": "STE 311",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013570",
"telephone_number": "908-598-1500"
}
],
"practiceLocations": [
{
"address_1": "1 Diamond Hill Rd",
"address_purpose": "LOCATION",
"city": "Berkeley Heights",
"state": "NJ",
"postal_code": "079222104",
"country_code": "US",
"telephone_number": "908-273-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JABLONS",
"first_name": "MITCHELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA04398100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0381209",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.