Organization Active NPI

Nassif E. Dawlabani MD, PA

  • Pediatrics Physician
  • Trenton, NJ
National Provider Identifier
1750657276
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA025798800 Issued in NJ
Legal business name
NASSIF E. DAWLABANI MD, PA
Practice address
908 West State St.
Trenton, NJ 08618-5328
Phone
(609) 503-5540
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Nassif Elias Dawlabani, M.D.NPI 1184654261
Title
President
Phone
(609) 503-5540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA025798800 NJ Primary

Addresses

Primary practice location

908 West State St.
Trenton, NJ 08618-5328

Mailing address

908 West State St.
Trenton, NJ 08618-5328
Phone (609) 503-5540

Other identifiers 1

IdentifierTypeStateIssuer
5178100MedicaidNJ

National Provider Directory

National Provider Directory

Locations

908 W State St
Trenton, NJ 08618
Phone (609) 503-5540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1750657276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WEST STATE ST.",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185328",
            "telephone_number": "609-503-5540",
            "fax_number": "609-503-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 WEST STATE ST.",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185328",
            "telephone_number": "609-503-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSIF E. DAWLABANI MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "DAWLABANI",
        "authorized_official_first_name": "NASSIF",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-503-5540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA025798800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5178100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.