Individual provider Active NPI

Robert E Cabana, DDS

  • General Practice Dentistry
  • Boonton, NJ
National Provider Identifier
1093864415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18987 Issued in NJ
Practice address
362 Hawkins PL
Boonton, NJ 07005-1128
Phone
(973) 334-9350
Fax
(973) 334-3912
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18987 NJ Primary

Addresses

Primary practice location

362 Hawkins PL
Boonton, NJ 07005-1128

Mailing address

362 Hawkins PL
Boonton, NJ 07005-1128
Phone (973) 334-9350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114001012 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3476856071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18987NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093864415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 HAWKINS PL",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051128",
            "telephone_number": "973-334-9350",
            "fax_number": "973-334-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 HAWKINS PL",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051128",
            "telephone_number": "973-334-9350",
            "fax_number": "973-334-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANA",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

Verify at the official NPI Registry.