Active NPIIndividual providerSole proprietor

Dr. Timothy Brabston, MD

Internal Medicine in Pompton Lakes, New Jersey

NPI Number1184607863
Practice location
525 Wanaque Ave, Pompton Lakes, NJ 07442-1843
Fax
973-839-0580
Last updated
April 12, 2011

Timothy Brabston is an Internal Medicine based in Pompton Lakes, NJ. Timothy Brabston practices in Pompton Lakes, NJ and has the professional credentials of MD. The NPI Number for Timothy Brabston is 1184607863 and holds a License No. mao65228 (NJ). The current practice location address for Timothy Brabston is 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 and can be reached out via phone at 973-839-3333 and via fax at 973-839-0580.

Provider Profile Details

NPI Number
1184607863
Provider Name
Timothy Brabston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 Wanaque Ave, Pompton Lakes, NJ 07442-1843
Phone Number
973-839-3333
Fax Number
973-839-0580
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2005
Last Update Date
April 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Wanaque Ave
Pompton Lakes, NJ 07442-1843
Zip
07442-1843
Phone Number
973-839-3333
Fax Number
973-839-0580
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
525 Wanaque Ave
Pompton Lakes, NJ 07442-1843
City
Pompton Lakes
State
NJ
Zip
07442-1843
Phone Number
973-839-3333
Fax Number
973-839-0580

License Information

License Number (1)
mao65228
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
mao65228
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Timothy Brabston, MD?

The NPI number of Dr. Timothy Brabston, MD is 1184607863. It was assigned on November 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Timothy Brabston, MD?

Dr. Timothy Brabston, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number mao65228.

Where does Dr. Timothy Brabston, MD practice?

The practice location is 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843. The office can be reached at 973-839-3333 (phone) or 973-839-0580 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184607863 directly on the NPPES registry website.

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