Active NPIIndividual provider

Justin T Sambol, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Newark, New Jersey

NPI Number1376523266
Practice location
150 Bergen St, F 102, Newark, NJ 07103-2496
Fax
973-972-3510
Last updated
January 25, 2022

Justin Todd Sambol is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Newark, NJ. Justin Todd Sambol practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Justin Todd Sambol is 1376523266 and holds a License No. MA068900 (NJ). The current practice location address for Justin Todd Sambol is 150 Bergen St, F 102, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-3555 and via fax at 973-972-3510.

Provider Profile Details

NPI Number
1376523266
Provider Name
Justin Todd Sambol
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, F 102, Newark, NJ 07103-2496
Phone Number
973-972-3555
Fax Number
973-972-3510
Sole Proprietor
No
Provider Enumeration Date
January 18, 2006
Last Update Date
January 25, 2022
Certification Date
November 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
F 102
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-3555
Fax Number
973-972-3510
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
Po Box 18925
Newark, NJ 07191-8925
City
Newark
State
NJ
Zip
07191-8925
Phone Number
973-972-3555
Fax Number
972-972-3510

License Information

License Number
MA068900
License State
NJ

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 Justin T Sambol, MD?

The NPI number of Justin T Sambol, MD is 1376523266. It was assigned on January 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Justin T Sambol, MD?

Justin T Sambol, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NJ under license number MA068900.

Where does Justin T Sambol, MD practice?

The practice location is 150 Bergen St, F 102, Newark, NJ 07103-2496. The office can be reached at 973-972-3555 (phone) or 973-972-3510 (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 1376523266 directly on the NPPES registry website.

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