Organization Active NPI

Mildred Sabo, MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brick, NJ
National Provider Identifier
1417154204
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MILDRED SABO, MD, LLC
Practice address
446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone
(732) 458-7111
Fax
(732) 458-7188
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mildred Ruth Sabo, MD
Title
Physician
Phone
(732) 458-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

446 Jack Martin Blvd
Brick, NJ 08724-7733

Mailing address

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 458-7111

National Provider Directory

National Provider Directory

Locations

1530 Route 88 W
Brick, NJ 08724
Phone (732) 840-0600

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1417154204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-458-7111",
            "fax_number": "732-458-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-458-7111",
            "fax_number": "732-458-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED SABO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-458-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.