Individual provider Active NPI

Ginnine Sue Ribolow, D.D.S.

  • Endodontics
  • Englishtown, NJ
National Provider Identifier
1497815716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
14746 Issued in NJ
Practice address
203 US Highway 9
Suite 2
Englishtown, NJ 07726-8270
Phone
(732) 972-1900
Fax
(732) 972-1937
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 14746 NJ Primary

Addresses

Primary practice location

203 US Highway 9
Suite 2
Englishtown, NJ 07726-8270

Mailing address

203 US Highway 9
Suite 2
Englishtown, NJ 07726-8270
Phone (732) 972-1900

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

LicenseStateTypeSpecialty
14746NJMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497815716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 US HIGHWAY 9",
            "address_2": "SUITE 2",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268270",
            "telephone_number": "732-972-1900",
            "fax_number": "732-972-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 US HIGHWAY 9",
            "address_2": "SUITE 2",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268270",
            "telephone_number": "732-972-1900",
            "fax_number": "732-972-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBOLOW",
        "first_name": "GINNINE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "14746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.