Active NPI
Vincent George Kubak, DMD
- Dentist
- Hightstown, NJ
National Provider Identifier
1164645420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9940
- Practice address
- 605 North Main Street
Hightstown, NJ 08520 - Phone
- (609) 448-0278
- Fax
- (609) 448-5313
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9940 | NJ | Primary |
Addresses
Primary practice location
605 North Main Street
Hightstown, NJ 08520
Mailing address
605 North Main Street
Hightstown, NJ 08520
Phone (609) 448-0278
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 |
|---|---|---|---|
| 9940 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164645420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 NORTH MAIN STREET",
"city": "HIGHTSTOWN",
"state": "NJ",
"postal_code": "08520",
"telephone_number": "609-448-0278",
"fax_number": "609-448-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 NORTH MAIN STREET",
"city": "HIGHTSTOWN",
"state": "NJ",
"postal_code": "08520",
"telephone_number": "609-448-0278",
"fax_number": "609-448-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBAK",
"first_name": "VINCENT",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "9940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hightstown, NJ
- Hightstown First Aid Squad, Inc.
- Hightstown Therapeutic Services
- Anne Sinclair Holmes, M.S., C.C.C.
- Hope Happens Counseling Service
- Walicia I Jackson-Morse, LPC
- John Alfred Laudenberger II, D.M.D.
- Lauren Livorsi, LCSW
- Leigh Anne Carrico Mann, M.S., CCC-SLP
- Michael Nicholas Mastoris, D.C.
- Kelli McNamara, MS/CCC-SLP
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.