MEDICARE: THOMAS EDWARD DRABIK DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	MB62770	NJ
2	207RN0300X	Nephrology Physician	25MB06277000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619967064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS EDWARD DRABIK DO

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5792
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	8 OLD BRIDGE TPKE STE 7
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2400
Country	:	US
Telephone Number	:	732-390-4888
Fax Number	:	732-390-0255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	04/28/2025

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Directions to “ THOMAS EDWARD DRABIK DO” Practice Location

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