Provider Demographics
NPI:1669573234
Name:SABIN, NATHAN C (DPM)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:C
Last Name:SABIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4137
Mailing Address - Country:US
Mailing Address - Phone:973-538-4400
Mailing Address - Fax:973-538-4403
Practice Address - Street 1:39 SOUTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4137
Practice Address - Country:US
Practice Address - Phone:973-538-4400
Practice Address - Fax:973-538-4403
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00091100213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1161801Medicaid
T44743Medicare UPIN
NJ1161801Medicaid