Active NPI
Benjamin A Sabido, M.D.
- Specialist
- Newark, NJ
National Provider Identifier
1720159916
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07696900
- Practice address
- 685 Mount Prospect Ave # 2FL
Newark, NJ 07104-3151 - Phone
- (973) 350-9002
- Fax
- (973) 350-9009
- NPI assigned
- Nov 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 25MA07696900 | NJ | Primary |
Addresses
Primary practice location
685 Mount Prospect Ave # 2FL
Newark, NJ 07104-3151
Mailing address
44 Jackson Ave
Wayne, NJ 07470-5217
Phone (201) 841-2472
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027928 | Other | NJ | MEDICAID PROVIDER NUMBER |
| 0027928 | Medicaid | NJ | |
| 0083585 | Other | NJ | MEDICAID PROVIDER NUMBER |
| 0121070 | Other | NJ | MEDICAID PROVIDER NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colmexi Medical, LLC | Specialist | Past | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Single Specialty | Past | Accepting new patients |
| Totowa Center for Pain Management & Physical Medicine,P.C. | Single Specialty | Past | Accepting new patients |
| Empire Medical II, LLC | Single Specialty | Past | Accepting new patients |
| Elensa Medical II, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Totowa, NJ
- NPI 1265644363
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1720159916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 JACKSON AVE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705217",
"telephone_number": "201-841-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 MOUNT PROSPECT AVE # 2FL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071043151",
"telephone_number": "973-350-9002",
"fax_number": "973-350-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIDO",
"first_name": "BENJAMIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07696900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "0027928",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0027928",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "0083585",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER NUMBER",
"identifier": "0121070",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.