Nicole Renee Niebudek, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02375900 Issued in NJ

Practice address

960 Route 9 South
South Amboy, NJ 08879-3310

Phone

(732) 727-3399

NPI assigned

Jul 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eastern Dental of Old Bridge, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • South Amboy, NJ
  • NPI 1770631772

  General Practice

  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1326200353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 ROUTE 9 SOUTH",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ROUTE 9 SOUTH",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793310",
            "telephone_number": "732-727-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBUDEK",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02375900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J. Nadal, LPN
• Sujata S Naik, OCCUPATIONAL THERAPY
• New Horizons Wellness
• New Jersey Spine and Pain Physicians PC
• New Jersey Spine and Pain Physicians PC
• NJ Doctors Urgent Care of Sayreville LLC
• Daniel Adam Noll, PHD
• Genesis Nunez
• Yaw Ofori-Behome, MD
• Hailey Ogilvie, ED.D. CCC-SLP

• General Practice Dentistry in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.