Active NPI
Mildred Sabo, MD, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Brick, NJ
National Provider Identifier
1417154204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.