Active NPI
Daniela Gurpegui Abud, DDS, MS
- Periodontics
- Fort Lee, NJ
National Provider Identifier
1114559994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 000107
- Practice address
- 100 Park Ave Apt PH4J
Fort Lee, NJ 07024-3806 - Phone
- (201) 917-8571
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 000107 | NY | Primary |
Addresses
Primary practice location
100 Park Ave Apt PH4J
Fort Lee, NJ 07024-3806
Mailing address
100 Park Ave Apt 3608
Fort Lee, NJ 07024-3859
Phone (201) 917-8571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000107 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1114559994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK AVE APT 3608",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243859",
"telephone_number": "201-917-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARK AVE APT PH4J",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243806",
"telephone_number": "201-917-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURPEGUI ABUD",
"first_name": "DANIELA",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "000107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.