Active NPI
Paul S Gabin, D.M.D.
- General Practice Dentistry
- Secaucus, NJ
National Provider Identifier
1821330846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10357
- Practice address
- 761 Humboldt St
Secaucus, NJ 07094-3232 - Phone
- (201) 865-1150
- Fax
- (201) 865-1236
- NPI assigned
- Mar 18, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10357 | NJ | Primary |
Addresses
Primary practice location
761 Humboldt St
Secaucus, NJ 07094-3232
Mailing address
761 Humboldt St
Secaucus, NJ 07094-3232
Phone (201) 865-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D01808100 | Other | NJ | STATE CDS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10357 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Secaucus Dental Group, LLC | General Practice | Past | Accepting new patients |
| Paul S. Gabin, D.M.D. & Gerald J. Pincus, D.M.D., P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Secaucus, NJ
- NPI 1831286715
-
- General Practice Dentistry
- Secaucus, NJ
- NPI 1174026140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1821330846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 HUMBOLDT ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943232",
"telephone_number": "201-865-1150",
"fax_number": "201-865-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 HUMBOLDT ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943232",
"telephone_number": "201-865-1150",
"fax_number": "201-865-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABIN",
"first_name": "PAUL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "10357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CDS",
"identifier": "D01808100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.