Philip N Rabin DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7316 Issued in NJ

Legal business name

PHILIP N RABIN DDS PA

Practice address

12 S Holmdel Rd # 383
Holmdel, NJ 07733-2130

Phone

(732) 946-4644

Fax

(732) 946-2546

NPI assigned

Feb 21, 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

Philip N Rabin, DDSNPI 1720123193

Title

President

Phone

(732) 946-4644

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip N Rabin, DDS

  • General Practice Dentistry
  • Holmdel, NJ
  • NPI 1720123193
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801931340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S HOLMDEL RD # 383",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "732-946-4644",
            "fax_number": "732-946-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S HOLMDEL RD # 383",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332130",
            "telephone_number": "732-946-4644",
            "fax_number": "732-946-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP N RABIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-946-4644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "7316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.