Dr Kenneth P Tobin PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR KENNETH P TOBIN PA

Practice address

417 36TH St
Union City, NJ 07087-4711

Phone

(201) 865-9293

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dr Kenneth Tobin, DMD

Title

Dentist

Phone

(201) 865-9293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699891382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 36TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874711",
            "telephone_number": "201-865-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 36TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874711",
            "telephone_number": "201-865-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH P TOBIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "DR KENNETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-865-9293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.