Active NPI
Gabrielle Lobato-Wortman, DMD
- Endodontics
- Toms River, NJ
National Provider Identifier
1184687915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 20539
- Practice address
- 1144 Hooper Ave
Suite 301
Toms River, NJ 08753-8361 - Phone
- (732) 914-1039
- Fax
- (732) 914-8472
- NPI assigned
- Apr 11, 2006
- Last updated
- Aug 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 20539 | NJ | Primary |
Addresses
Primary practice location
1144 Hooper Ave
Suite 301
Toms River, NJ 08753-8361
Mailing address
1144 Hooper Ave
Suite 301
Toms River, NJ 08753-8361
Phone (732) 914-1039
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 |
|---|---|---|---|
| 20539 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1184687915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 HOOPER AVE",
"address_2": "SUITE 301",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538361",
"telephone_number": "732-914-1039",
"fax_number": "732-914-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 HOOPER AVE",
"address_2": "SUITE 301",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538361",
"telephone_number": "732-914-1039",
"fax_number": "732-914-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBATO-WORTMAN",
"first_name": "GABRIELLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "20539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.