Active NPI
Alvin Daniel Dubin, DO
- Otolaryngology/Facial Plastic Surgery Physician
- Cherry Hill, NJ
National Provider Identifier
1467428623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- MB01668500
- Practice address
- 1924 Route 70 E
Cherry Hill, NJ 08003-2118 - Phone
- (856) 424-9200
- NPI assigned
- Feb 27, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MB01668500 | NJ | Primary |
Addresses
Primary practice location
1924 Route 70 E
Cherry Hill, NJ 08003-2118
Mailing address
1743 Country Club Dr
Cherry Hill, NJ 08003-3449
Phone (856) 795-6432
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB01668500 | NJ | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1467428623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 COUNTRY CLUB DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033449",
"telephone_number": "856-795-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032118",
"telephone_number": "856-424-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIN",
"first_name": "ALVIN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NJ",
"license": "MB01668500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.