Individual provider Active NPI

Nathan Augustin Wuebbels, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, NJ
National Provider Identifier
1295902096
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI02440600 Issued in NJ
Practice address
150 Bergen St
Room C401
Newark, NJ 07103-2496
Phone
(973) 972-3126
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.026729 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DI02440600 NJ Primary

Addresses

Primary practice location

150 Bergen St
Room C401
Newark, NJ 07103-2496

Mailing address

689 Marin Blvd
Apt. 1010
Jersey City, NJ 07310-1260
Phone (618) 660-5809

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110531000228 NJ Practitioner - Maxillofacial Surgery 9335326339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Southern Illinois Univ School of Dental Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

16 Johnson Ave
Hackensack, NJ 07601-4818
Phone (201) 342-7353

30 Prospect Ave
Hackensack, NJ 07601-1915

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019.026729ILMDDentist
DI02440600NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Dentist CurrentSince Jan 28, 2024 Accepting new patients
Barbieri, Colameo & Berardo, Associates in Oral and Maxillofacial Surg Oral and Maxillofacial Surgery Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 28, 2024 Accepting new patients
Rutgers Health -University Dental Associates Oral and Maxillofacial Surgery CurrentSince Jul 19, 2011 Accepting new patients
Barbieri Colameo & Berardo Assoc in Oral & Maxillofacial Surgery PC Oral and Maxillofacial Surgery Current Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

16 Johnson Ave
Hackensack, NJ 07601
Phone (201) 342-7353

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

150 Bergen St
Rm C401
Newark, NJ 07103
Phone (973) 280-2297

90 Bergen St
Ste 7700
Newark, NJ 07103
Phone (973) 972-2444

7322 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 662-1571

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1295902096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MARIN BLVD",
            "address_2": "APT. 1010",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101260",
            "telephone_number": "618-660-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "ROOM C401",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEBBELS",
        "first_name": "NATHAN",
        "middle_name": "AUGUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.026729",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02440600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.