Active NPI
Geoffrey Wayne Tobias, MO
- Otolaryngology Physician
- Englewood, NJ
National Provider Identifier
1326145939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MA36071
- Practice address
- 214 Engle St
Englewood, NJ 07631 - Phone
- (201) 567-6770
- Fax
- (201) 567-7966
- NPI assigned
- Sep 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MA36071 | NJ | Primary |
| Otolaryngology Physician | 207Y00000X | G39473 | CA | |
| Otolaryngology Physician | 207Y00000X | 1353961 | NY |
Addresses
Primary practice location
214 Engle St
Englewood, NJ 07631
Mailing address
214 Engle St
Englewood, NJ 07631
Phone (201) 567-6770
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U51545 | Medicaid | NJ | |
| BS396 | Other | OXFORD | |
| OK4604 | Other | HEALTH ACT | |
| 3044505 | Medicaid | NJ | |
| 40890 | Other | AETNA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39473 | CA | MD | Otolaryngology Physician |
| MA36071 | NJ | MD | Otolaryngology Physician |
| 1353961 | NY | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326145939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-6770",
"fax_number": "201-567-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-6770",
"fax_number": "201-567-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "GEOFFREY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "MA36071",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G39473",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "1353961",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "U51545",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BS396",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ACT",
"identifier": "OK4604",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3044505",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "40890",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.