Active NPI
Dennis A Tobia, M.D.
- Gastroenterology Physician
- Glen Ridge, NJ
National Provider Identifier
1295801330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 27810
- Practice address
- 123 Highland Ave
Glen Ridge, NJ 07028-1527 - Phone
- (973) 744-2939
- Fax
- (973) 680-8230
- NPI assigned
- Nov 28, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 27810 | NJ | Primary |
Addresses
Primary practice location
123 Highland Ave
Glen Ridge, NJ 07028-1527
Mailing address
13 Rose Ave
North Caldwell, NJ 07006-4131
Phone (973) 228-9503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TO461392 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27810 | NJ | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1295801330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 ROSE AVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070064131",
"telephone_number": "973-228-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HIGHLAND AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281527",
"telephone_number": "973-744-2939",
"fax_number": "973-680-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIA",
"first_name": "DENNIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "27810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TO461392",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.