Individual provider Active NPI

Ahab Gabriel

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1285729319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07646200 Issued in NJ
Practice address
63 W Prospect St
East Brunswick, NJ 08816-5705
Phone
(732) 651-7122
NPI assigned
Oct 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
Internal Medicine Physician 207R00000X MA07646200 NJ Primary

Addresses

Primary practice location

63 W Prospect St
East Brunswick, NJ 08816-5705

Mailing address

PO Box 6566
East Brunswick, NJ 08816-6566

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
I20040312000313 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2163311705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
F Gabriel Limited Liability CoGroup PAC ID 0749294429, 2 clinicians

Practice addresses (Care Compare)

449 Ave C
Bayonne, NJ 07002-5105
Phone (201) 374-1103

87 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 651-7122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07646200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
F Gabriel Limited Liability Co Internal Medicine CurrentSince Nov 1, 2004 Accepting new patients
Petronilo L Seares Jr MD LLC Internal Medicine PastSince Sep 1, 2008 Accepting new patients

Locations

449 Avenue C
Bayonne, NJ 07002
Phone (201) 823-2334

87 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 254-0081

63 W Prospect St
East Brunswick, NJ 08816
Phone (732) 651-7122

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285729319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6566",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088166566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W PROSPECT ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165705",
            "telephone_number": "732-651-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "AHAB",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07646200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.