Individual provider Active NPI

Pamela Casperino, D.M.D,

  • General Practice Dentistry
  • Totowa, NJ
National Provider Identifier
1295957629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15934 Issued in NJ
Practice address
775 Union Blvd
Totowa, NJ 07512-2207
Phone
(973) 812-1234
Fax
(973) 812-0679
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15934 NJ Primary

Addresses

Primary practice location

775 Union Blvd
Totowa, NJ 07512-2207

Mailing address

775 Union Blvd
Totowa, NJ 07512-2207
Phone (973) 812-1234

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000302 NJ Order and Referring Only - DentistPractitioner - Dentist 0648582866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15934NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
QD 775 Union Blvd., LLC General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295957629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234",
            "fax_number": "973-812-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234",
            "fax_number": "973-812-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPERINO",
        "first_name": "PAMELA",
        "credential": "D.M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.