Individual provider Active NPI

Edward B Laub, M.D.

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1215974902
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03570600 Issued in NJ
Practice address
2055 Klockner Rd
Trenton, NJ 08690-3413
Phone
(609) 586-8060
Fax
(609) 586-7470
NPI assigned
Jun 1, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA03570600 NJ Primary

Addresses

Primary practice location

2055 Klockner Rd
Trenton, NJ 08690-3413

Mailing address

2055 Klockner Rd
Trenton, NJ 08690-3413
Phone (609) 586-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000115 NJ Practitioner - Internal Medicine 6901794569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2053 Klockner Rd
Trenton, NJ 08690-3413
Phone (609) 586-8996

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Laub MD LLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Senior Care of Minnesota PastSince Mar 30, 2019 Accepting new patients

Locations

2053 Klockner Rd
Trenton, NJ 08690
Phone (609) 586-8996

Interoperability endpoints

  • Direct secure messaging: edward.laub.1@14226.direct.athenahealth.com
  • Direct secure messaging: elaub15030@epicdirect.rwjbh.org

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1215974902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 KLOCKNER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903413",
            "telephone_number": "609-586-8060",
            "fax_number": "609-586-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KLOCKNER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903413",
            "telephone_number": "609-586-8060",
            "fax_number": "609-586-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUB",
        "first_name": "EDWARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03570600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.