Individual provider Active NPI

Javier Gustavo Taboada, MD

  • Neurology Physician
  • Trenton, NJ
National Provider Identifier
1780731802
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA034444100 Issued in NJ
Practice address
2000 Hamilton Ave
Trenton, NJ 08619-3644
Phone
(609) 587-3333
NPI assigned
Jan 3, 2007
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA034444100 NJ Primary
Neurology Physician 2084N0400X MD038452L PA

Addresses

Primary practice location

2000 Hamilton Ave
Trenton, NJ 08619-3644

Mailing address

1 Walnut LN
Yardley, PA 19067-2000
Phone (215) 295-4801

Other practice location 1

1 Walnut Ln
Yardley, PA 19067-2032
Phone (215) 295-4801

Other identifiers 1

IdentifierTypeStateIssuer
3792901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060509000673 NJ Practitioner - NeurologyPractitioner - Psychiatry 1658382346 Reassigns benefits to 1 organization
Practice locations: Hamilton, NJ; Princeton, NJ; Trenton, NJ
I20100914000871 PA Practitioner - NeurologyPractitioner - Psychiatry 1658382346 Reassigns benefits to 1 organization
Practice locations: Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

1440 Pennington Rd
Suite 1
Ewing, NJ 08618-2669
Phone (609) 890-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA034444100NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 18, 2016 Accepting new patients
Azz Medical Associates PC CurrentSince Nov 17, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 18, 2016 Accepting new patients
Community Neurological Services, LLC Past Accepting new patients
Associated Neurologists of N.J., PA Neurology Past Accepting new patients
Azz Medical Associates PC PastSince Jul 23, 2023 Accepting new patients

Locations

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1780731802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALNUT LN",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190672000",
            "telephone_number": "215-295-4801",
            "fax_number": "215-295-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193644",
            "telephone_number": "609-587-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Walnut Ln",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190672032",
            "country_code": "US",
            "telephone_number": "215-295-4801",
            "fax_number": "215-295-4860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOADA",
        "first_name": "JAVIER",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA034444100",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD038452L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3792901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.