Active NPI
Gregory Arthur Kubinak, DMD
- General Practice Dentistry
- Metuchen, NJ
National Provider Identifier
1407014574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DIO1907300
- Practice address
- 652 Middlesex Ave
Metuchen, NJ 08840-1812 - Phone
- (732) 603-0030
- Fax
- (732) 603-8255
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DIO1907300 | NJ | Primary |
Addresses
Primary practice location
652 Middlesex Ave
Metuchen, NJ 08840-1812
Mailing address
652 Middlesex Ave
Metuchen, NJ 08840-1812
Phone (732) 603-0030
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 |
|---|---|---|---|
| 22DIO1907300 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1407014574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 MIDDLESEX AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401812",
"telephone_number": "732-603-0030",
"fax_number": "732-603-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 MIDDLESEX AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401812",
"telephone_number": "732-603-0030",
"fax_number": "732-603-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBINAK",
"first_name": "GREGORY",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DIO1907300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.