Alfonso E Bayuelo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01964800 Issued in NJ

Practice address

96 S Washington Ave
2ND Floor
Bergenfield, NJ 07621-2341

Phone

(201) 384-2266

Fax

(201) 384-3444

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1053511121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 S WASHINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212341",
            "telephone_number": "201-384-2266",
            "fax_number": "201-384-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 S WASHINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212341",
            "telephone_number": "201-384-2266",
            "fax_number": "201-384-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYUELO",
        "first_name": "ALFONSO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01964800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.