Individual provider Active NPI

Paul S Gabin, D.M.D.

  • General Practice Dentistry
  • Secaucus, NJ
National Provider Identifier
1821330846
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10357 Issued in NJ
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

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D01808100OtherNJSTATE 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

LicenseStateTypeSpecialty
10357NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.