Individual provider Active NPI

Nassif Elias Dawlabani, M.D.

  • Pediatrics Physician
  • Trenton, NJ
National Provider Identifier
1184654261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA0025798800 Issued in NJ
Practice address
908 W State St
Trenton, NJ 08618-5328
Phone
(609) 503-5540
Fax
(609) 503-5541
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

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
Pediatrics Physician 208000000X 25MA0025798800 NJ Primary

Addresses

Primary practice location

908 W State St
Trenton, NJ 08618-5328

Mailing address

908 W State St
Trenton, NJ 08618-5328
Phone (609) 503-5540

Other identifiers 1

IdentifierTypeStateIssuer
5178100MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0025798800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassif E. Dawlabani MD, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nassif.dawlabani@nassifdawlabani.chartmakerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184654261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W STATE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185328",
            "telephone_number": "609-503-5540",
            "fax_number": "609-503-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W STATE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185328",
            "telephone_number": "609-503-5540",
            "fax_number": "609-503-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWLABANI",
        "first_name": "NASSIF",
        "middle_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA0025798800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5178100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, 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.