Active NPI
Nassif Elias Dawlabani, M.D.
- Pediatrics Physician
- Trenton, NJ
National Provider Identifier
1184654261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA0025798800
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5178100 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0025798800 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassif E. Dawlabani MD, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Trenton, NJ
- NPI 1750657276
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.