Michelle Caban, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA09272200 Issued in NJ

Practice address

3270 Route 27
Suite 2200
Kendall Park, NJ 08824

Phone

(732) 422-8989

Fax

(732) 422-4526

NPI assigned

Feb 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

New York Medical College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.caban.1@27010.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1184956286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 ROUTE 27",
            "address_2": "SUITE 2200",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-422-8989",
            "fax_number": "732-422-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 ROUTE 27",
            "address_2": "SUITE 2200",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-422-8989",
            "fax_number": "732-422-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255654",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09272200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03188772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marideanne Blomgren, LPC
• Ronnie Bochner, M.D.
• Patricia M. Brady, ED.D.
• Brunswick Internal Medicine Group PC
• Brunswick Valley Orthodontics, LLC
• Bonnie Lou Camo, M.D.
• Timothy J Caulfield, PT, DPT
• Center for Psychology and Counseling
• Central New Jersey Allergy and Asthma Associates, LLC
• Ellen Sue Chajson, M.D.

• Obstetrics & Gynecology Physician in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.