Active NPI
Merela Cruz Rieza-Concepcion, DDS
- General Practice Dentistry
- Binghamton, NY
National Provider Identifier
1164610770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D18390
- Practice address
- 289 Chenango St
Binghamton, NY 13901-2312 - Phone
- (607) 217-7122
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D18390 | NJ | Primary |
Addresses
Primary practice location
289 Chenango St
Binghamton, NY 13901-2312
Mailing address
733 Westside Ave
Jersey City, NJ 07306-6011
Phone (201) 324-1919
Other practice location 1
733 Westside Ave
Jersey City, NJ 07306-6011
Phone (201) 324-1919
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 |
|---|---|---|---|
| D18390 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1164610770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 WESTSIDE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066011",
"telephone_number": "201-324-1919",
"fax_number": "201-324-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 CHENANGO ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139012312",
"telephone_number": "607-217-7122"
}
],
"practiceLocations": [
{
"address_1": "733 Westside Ave",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073066011",
"country_code": "US",
"telephone_number": "201-324-1919",
"fax_number": "201-324-1605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEZA-CONCEPCION",
"first_name": "MERELA",
"middle_name": "CRUZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "D18390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.