Individual provider Active NPI

Javier Alcid Duron Tabora, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sparta, NJ
National Provider Identifier
1356861496
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA12892200 Issued in NJ
Practice address
89 Sparta Ave Ste 220
Sparta, NJ 07871-1793
Phone
(973) 512-5641
Fax
(973) 512-5650
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036.153095 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA12892200 NJ Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 56700 KY

Addresses

Primary practice location

89 Sparta Ave Ste 220
Sparta, NJ 07871-1793

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

653 Willow Grove St
Hackettstown, NJ 07840-1732
Phone (908) 441-7200

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
I20260108001943 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 7810315199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

89 Sparta Ave
Suite 220
Sparta, NJ 07871-1793
Phone (973) 940-8100

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.153095ILMDEndocrinology, Diabetes & Metabolism Physician
25MA12892200NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jul 8, 2022 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jul 8, 2022 Accepting new patients
Rush University Medical Group PastSince Jul 1, 2020 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

102C Physicians Blvd
Glasgow, KY 42141
Phone (270) 651-2433

653 Willow Grove St
Ste 2000
Hackettstown, NJ 07840
Phone (908) 522-5120

653 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 850-3100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

89 Sparta Ave
Ste 220
Sparta, NJ 07871
Phone (973) 726-7777

Interoperability endpoints

  • Direct secure messaging: javierdurontabora@ggc.allscriptsdirect.net

Organizations & group practices 4

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 6

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1356861496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE STE 220",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711793",
            "telephone_number": "973-512-5641",
            "fax_number": "973-512-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Willow Grove St",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401732",
            "country_code": "US",
            "telephone_number": "908-441-7200",
            "fax_number": "908-813-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURON TABORA",
        "first_name": "JAVIER",
        "middle_name": "ALCID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.153095",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA12892200",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "56700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.