Individual provider Active NPI

Theodore Kurt Tobias, M.D.

  • Gynecology Physician
  • Morristown, NJ
National Provider Identifier
1639387723
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA02246200 Issued in NJ
Practice address
196 Speedwell Ave
Morristown, NJ 07960-2934
Phone
(973) 539-9580
Fax
(973) 539-3828
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA02246200 NJ Primary

Addresses

Primary practice location

196 Speedwell Ave
Morristown, NJ 07960-2934

Mailing address

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-9580

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

LicenseStateTypeSpecialty
25MA02246200NJMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: theodore.tobias.p3@direct.ppncsnj.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1639387723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SPEEDWELL AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602934",
            "telephone_number": "973-539-9580",
            "fax_number": "973-539-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SPEEDWELL AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602934",
            "telephone_number": "973-539-9580",
            "fax_number": "973-539-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "THEODORE",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA02246200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.