Organization Active NPI

Anant S. Kubal MD PA

  • Internal Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1174709042
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANANT S. KUBAL MD PA
Practice address
668 N Beers St Ste 100
Holmdel, NJ 07733-1511
Phone
(732) 264-2723
Fax
(732) 264-2278
NPI assigned
Jan 10, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Anant S. Kubal, MD
Title
Owner
Phone
(732) 264-2723

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

668 N Beers St Ste 100
Holmdel, NJ 07733-1511

Mailing address

668 N Beers St Ste 100
Holmdel, NJ 07733-1511
Phone (732) 264-2723

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2008.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1174709042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N BEERS ST STE 100",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331511",
            "telephone_number": "732-264-2723",
            "fax_number": "732-264-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N BEERS ST STE 100",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331511",
            "telephone_number": "732-264-2723",
            "fax_number": "732-264-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANT S. KUBAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "KUBAL",
        "authorized_official_first_name": "ANANT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-264-2723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.