Individual provider Active NPI

Mitchell V Sabbagh, DMD

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1992075261
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041140 Issued in NY
Practice address
1 Rockefeller PLZ RM 2206
New York, NY 10020-2031
Phone
(212) 840-1000
Fax
(212) 840-1138
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 041140 NY Primary

Addresses

Primary practice location

1 Rockefeller PLZ RM 2206
New York, NY 10020-2031

Mailing address

1 Rockefeller PLZ RM 2206
New York, NY 10020-2031
Phone (212) 840-1000

Other practice location 1

110 Norwood Ave Ste 1
Deal, NJ 07723-1268
Phone (732) 531-3311

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell V Sabbagh DMD PC General Practice Current Accepting new patients
Mitchell V Sabbagh DMD PC General Practice Past Accepting new patients

Locations

110 Norwood Ave
Ste 1
Deal, NJ 07723
Phone (732) 531-3311

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": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1992075261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ RM 2206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202031",
            "telephone_number": "212-840-1000",
            "fax_number": "212-840-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ RM 2206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202031",
            "telephone_number": "212-840-1000",
            "fax_number": "212-840-1138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Norwood Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Deal",
            "state": "NJ",
            "postal_code": "077231268",
            "country_code": "US",
            "telephone_number": "732-531-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "MITCHELL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.