Joe Dib, MD
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1679401293
StatusActive
Last updated in NPPESMay 12, 2026
Details
- NPI
- 1679401293
- Entity type
- Individual (NPI-1)
- Name
- Joe Dib
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2026
- Certification date
- May 12, 2026
- Last updated
- May 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
736 Cambridge StBoston, MA 02135-2907
Phone 617-789-3000
Mailing address
736 Cambridge StBoston, MA 02135-2907
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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