Individual provider Active NPI

Anita A Kubal, M.D.

  • Pediatrics Physician
  • Matawan, NJ
National Provider Identifier
1952381329
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA39589 Issued in NJ
Practice address
1000 Route 34
Suite 100
Matawan, NJ 07747-3473
Phone
(732) 583-0100
Fax
(732) 583-0608
NPI assigned
Jan 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA39589 NJ Primary

Addresses

Primary practice location

1000 Route 34
Suite 100
Matawan, NJ 07747-3473

Mailing address

1000 Route 34
Suite 100
Matawan, NJ 07747-3473
Phone (732) 583-0100

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA39589NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anita a. Kubal, M.D., P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952381329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "SUITE 100",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-583-0100",
            "fax_number": "732-583-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 34",
            "address_2": "SUITE 100",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473473",
            "telephone_number": "732-583-0100",
            "fax_number": "732-583-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAL",
        "first_name": "ANITA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA39589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.