Individual provider Active NPI

Gabriel I. Schreiber, D.D.S.

  • General Practice Dentistry
  • Lanoka Harbor, NJ
National Provider Identifier
1275542375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01140800 Issued in NJ
Practice address
411 US Highway 9 Ste 4
Lanoka Harbor, NJ 08734-2818
Phone
(609) 693-3888
Fax
(732) 671-6740
NPI assigned
Aug 7, 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
General Practice Dentistry 1223G0001X 22DI01140800 NJ Primary

Addresses

Primary practice location

411 US Highway 9 Ste 4
Lanoka Harbor, NJ 08734-2818

Mailing address

411 US Highway 9 Ste 4
Lanoka Harbor, NJ 08734-2818
Phone (609) 693-3888

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507001316 NJ Order and Referring Only - DentistPractitioner - Dentist 9739408063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275542375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 US HIGHWAY 9 STE 4",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342818",
            "telephone_number": "609-693-3888",
            "fax_number": "732-671-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 US HIGHWAY 9 STE 4",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342818",
            "telephone_number": "609-693-3888",
            "fax_number": "732-671-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "GABRIEL",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01140800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanoka Harbor, NJ

Sources for this page

Verify at the official NPI Registry.