Active NPI
Beth Anne Bamberger, DMD
- General Practice Dentistry
- Long Beach Township, NJ
National Provider Identifier
1124263124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI01561200
- Practice address
- 154 Marina Blvd
Long Beach Township, NJ 08008-6146 - Phone
- (856) 727-3267
- NPI assigned
- Dec 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01561200 | NJ | Primary |
Addresses
Primary practice location
154 Marina Blvd
Long Beach Township, NJ 08008-6146
Mailing address
154 Marina Blvd
Long Beach Township, NJ 08008-6146
Phone (856) 727-3267
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01561200 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1124263124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 MARINA BLVD",
"city": "LONG BEACH TOWNSHIP",
"state": "NJ",
"postal_code": "080086146",
"telephone_number": "856-727-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 MARINA BLVD",
"city": "LONG BEACH TOWNSHIP",
"state": "NJ",
"postal_code": "080086146",
"telephone_number": "856-727-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBERGER",
"first_name": "BETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI01561200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.