Individual provider Active NPI

Robert Gary Farber, D.D.S.

  • Endodontics
  • Linwood, NJ
National Provider Identifier
1932311271
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DI013639 Issued in NJ
Practice address
2106 New Rd Ste A5
Linwood, NJ 08221-1047
Phone
(609) 653-0333
Fax
(609) 653-6538
NPI assigned
May 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DI013639 NJ Primary

Addresses

Primary practice location

2106 New Rd Ste A5
Linwood, NJ 08221-1047

Mailing address

2106 New Rd Ste A5
Linwood, NJ 08221-1047
Phone (609) 653-0333

Other identifiers 2

IdentifierTypeStateIssuer
D03400500OtherNJNJ CDS REGISTRATION #
DI013639OtherNJNJ STATE DENTAL LICENSE #

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI013639NJMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932311271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE A5",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211047",
            "telephone_number": "609-653-0333",
            "fax_number": "609-653-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE A5",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211047",
            "telephone_number": "609-653-0333",
            "fax_number": "609-653-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI013639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CDS REGISTRATION #",
            "identifier": "D03400500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE DENTAL LICENSE #",
            "identifier": "DI013639",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.