Active NPI
Virgilia Nebab, MD
- Specialist
- Piscataway, NJ
National Provider Identifier
1548203532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03830500
- Practice address
- 31 Sturbridge Dr E
Piscataway, NJ 08854-5142 - Phone
- (732) 463-0521
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03830500 | NJ | Primary |
Addresses
Primary practice location
31 Sturbridge Dr E
Piscataway, NJ 08854-5142
Mailing address
31 Sturbridge Dr E
Piscataway, NJ 08854-5142
Phone (732) 463-0521
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223442277 | Other | NJ | TAX ID # |
| 5715487 | Other | NJ | GHI PPO # |
| P2039827 | Other | NJ | OXFORD # |
| 19280 | Other | NJ | UNIVERSITY HP # |
| 0812565 | Other | NJ | AETNA HMO # |
| MI000035901 | Other | NJ | AMERICHOICE # |
| 5999461 | Other | NJ | AETNA PPO # |
| 1042141 | Other | NJ | HORIZON NJ HEALTH # |
| 18414 | Other | NJ | AMERICAID # |
| 1K7505 | Other | NJ | HEALTHNET # |
| 551451 | Other | NJ | EMPIRE BC # |
| 6312608 | Medicaid | NJ |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03830500 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1548203532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 STURBRIDGE DR E",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088545142",
"telephone_number": "732-463-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STURBRIDGE DR E",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088545142",
"telephone_number": "732-463-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBAB",
"first_name": "VIRGILIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03830500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "223442277",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "5715487",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD #",
"identifier": "P2039827",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HP #",
"identifier": "19280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "0812565",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE #",
"identifier": "MI000035901",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO #",
"identifier": "5999461",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH #",
"identifier": "1042141",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID #",
"identifier": "18414",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET #",
"identifier": "1K7505",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC #",
"identifier": "551451",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6312608",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.