Nelfa Cespedes, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3210 Issued in RI

Practice address

293 Main Ave
Passaic, NJ 07055-5629

Phone

(973) 471-0099

Fax

(973) 614-1751

NPI assigned

Nov 7, 2005

Last updated

Jul 25, 2024By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Dental

  • General Practice Dentistry
  • Providence, RI
  • NPI 1639564891
  NPD Authorized official
• Cespedes Dental Services

  • General Practice Dentistry
  • Passaic, NJ
  • NPI 1326022120
  NPD (past) Authorized official
• KPG, Oms, PC

  dba Passaic Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Passaic, NJ
  • NPI 1326919812
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1336120559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555629",
            "telephone_number": "973-471-0099",
            "fax_number": "973-614-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555629",
            "telephone_number": "973-471-0099",
            "fax_number": "973-614-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "NELFA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "3210",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "474490479",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1646673",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0000114900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Adult Medicine and Preventive Care, PC
• Center for Humanistic Change of NJ, Inc.
• Center for Med Care, PC
• Center for Pediatric Neuroscience LLC
• Cespedes Dental Services
• Kaniyah Chapman
• Jose M Chavez-Cacho, M.D.
• Chaya Sorscher Ms CCC-SLP/a
• Noura Chedid, FNP-BC
• Tin M Chen, P.A.

• General Practice Dentistry in Passaic, NJ
• Providers in Passaic, 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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.