Active NPI
Mostafa Jabr, DMD
- Dentist
- Garfield, NJ
National Provider Identifier
1366031759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02820700
- Practice address
- 268 Lanza Ave
Garfield, NJ 07026-2424 - Phone
- (908) 434-8510
- NPI assigned
- Jan 11, 2021
- Last updated
- Jan 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02820700 | NJ | Primary |
Addresses
Primary practice location
268 Lanza Ave
Garfield, NJ 07026-2424
Mailing address
268 Lanza Ave
Garfield, NJ 07026-2424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02820700 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1366031759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 LANZA AVE",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070262424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 LANZA AVE",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070262424",
"telephone_number": "908-434-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABR",
"first_name": "MOSTAFA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02820700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.