Organization
NORTH ATLANTIC DIAGNOSTIC
Active
Organization
NORTH ATLANTIC DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS TODD GIBBENS M.D. (PRESIDENT/ CEO)
(732) 539-8714
Entity
Organization
Contact information
Practice address
4 SYCAMORE LN, RUMSON, NJ 07760-1035
(732) 539-8714
(732) 933-0379
Mailing address
4 SYCAMORE LN, RUMSON, NJ 07760-1035
(732) 539-8714
(732) 933-0379
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
MA06225500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6581803
—
NJ
Enumeration date
08/16/2011
Last updated
08/17/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up