RJ Dibenedetto MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA02906200 Issued in NJ

Legal business name

RJ DIBENEDETTO MD LLC

Practice address

23 Crestfield Rd
Boonton, NJ 07005-9007

Phone

(973) 216-6049

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Joseph Dibenedetto, MD

Title

Owner

Phone

(973) 216-6049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174051700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CRESTFIELD RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059007",
            "telephone_number": "973-216-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CRESTFIELD RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059007",
            "telephone_number": "973-216-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ DIBENEDETTO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-216-6049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA02906200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Renz, MD
• Kyle Rich
• Jason Ricks, MD
• Nora M Rigolosi
• Abid Hussain Rizvi, DDS
• Robert E Rinaldi M.D.
• Tahia Robinson, LSW
• Rolando Robleza, MD
• Lauren Roden, LCSW
• Nathaniel Rodriguez-Ortiz

• Surgery Physician in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.