Provider Demographics
NPI:1396416715
Name:D KOBY INC
Entity Type:Organization
Organization Name:D KOBY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KOBY
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:908-405-2117
Mailing Address - Street 1:620 LACEY RD STE 5
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-2244
Mailing Address - Country:US
Mailing Address - Phone:908-405-2117
Mailing Address - Fax:
Practice Address - Street 1:620 LACEY RD STE 5
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-2244
Practice Address - Country:US
Practice Address - Phone:908-405-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health