Russell F Guba Jr MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA43638 Issued in NJ

Legal business name

RUSSELL F GUBA JR MD

Practice address

220 Knickerbocker Rd
Cresskill, NJ 07626-1827

Phone

(201) 568-2020

Fax

(201) 568-4213

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Russell F Guba, MDNPI 1932288628

Title

Owner

Phone

(201) 568-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell F Guba Jr., MD

  • Ophthalmology Physician
  • Cresskill, NJ
  • NPI 1932288628
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1366583064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KNICKERBOCKER RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261827",
            "telephone_number": "201-568-2020",
            "fax_number": "201-568-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KNICKERBOCKER RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261827",
            "telephone_number": "201-568-2020",
            "fax_number": "201-568-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL F GUBA JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GUBA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-568-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA43638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K4573",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1680384",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikolas Rivera, DPT
• Michael L Rothberg, MSW, LCSW
• William Rothlein, MT
• Anne Rothman, PH.D.
• Lori J. Rubin, PH.D.
• Tara Ann Sager, PH.D.
• Sai Venkata Inc
• Barbara Sanchez
• Karen Ann Saraydarian
• Ginna P Sayag, FNP

• Ophthalmology Physician in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.