Active NPI
Jean-Claude Dungasi Mabeyi, DDS
- Dentist
- Bridgeton, NJ
National Provider Identifier
1265464762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI02312500
- Practice address
- 53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946 - Phone
- (856) 451-4700
- Fax
- (856) 863-5732
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DI02312500 | NJ | Primary |
Addresses
Primary practice location
53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946
Mailing address
53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946
Phone (856) 451-4700
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 |
|---|---|---|---|
| DI02312500 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1720198740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1265464762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 S LAUREL ST",
"address_2": "SECOND FLOOR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021946",
"telephone_number": "856-451-4700",
"fax_number": "856-863-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 S LAUREL ST",
"address_2": "SECOND FLOOR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021946",
"telephone_number": "856-451-4700",
"fax_number": "856-863-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGASI MABEYI",
"first_name": "JEAN-CLAUDE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI02312500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.