Organization Active NPI

Gesbas Medical,LLC

  • Clinic/Center
  • Union City, NJ
National Provider Identifier
1871822791
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA07696900 Issued in NJ
Legal business name
GESBAS MEDICAL,LLC
Practice address
151 48TH Street
Union City, NJ 07089-6427
Phone
(201) 223-2308
Fax
(201) 223-2293
NPI assigned
Dec 24, 2009
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. Benjamin Antonio Sabido, M.D.
Title
Owner
Phone
(201) 223-2308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA07696900 NJ Primary
Primary Care Clinic/Center 261QP2300X 25MA07696900 NJ

Addresses

Primary practice location

151 48TH Street
Union City, NJ 07089-6427

Mailing address

1085 Franklin Lakes Road
Franklin Lakes, NJ 07417-1131
Phone (201) 223-2308

Other identifiers 1

IdentifierTypeStateIssuer
0227731MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1871822791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 FRANKLIN LAKES ROAD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171131",
            "telephone_number": "201-223-2308",
            "fax_number": "201-223-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 48TH STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070896427",
            "telephone_number": "201-223-2308",
            "fax_number": "201-223-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESBAS MEDICAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "SABIDO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-223-2308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227731",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.