Active NPI
Ken Cubelli, M.D.
- Orthopaedic Surgery Physician
- Denville, NJ
National Provider Identifier
1346257581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA38394
- Practice address
- 109 US Highway 46
Denville, NJ 07834-2776 - Phone
- (973) 625-1221
- Fax
- (973) 625-1594
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA38394 | NJ | Primary |
Addresses
Primary practice location
109 US Highway 46
Denville, NJ 07834-2776
Mailing address
109 US Highway 46
Denville, NJ 07834-2776
Phone (973) 625-1221
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA38394 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Orthopaedic & Sports Medicine PA | Orthopaedic Surgery | Current | Accepting new patients |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Tri-County Orthopaedic & Sports Medicine PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Surgery Center of Northwest Jersey, LLC | Past | Accepting new patients |
Locations
197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Specialist
- Cedar Knolls, NJ
- NPI 1447213962
Orthopaedic Surgery
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Orthopaedic Surgery Physician
- Lake Hopatcong, NJ
- NPI 1235887548
-
- Clinic/Center
- Denville, NJ
- NPI 1174609309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1346257581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 46",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342776",
"telephone_number": "973-625-1221",
"fax_number": "973-625-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 46",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342776",
"telephone_number": "973-625-1221",
"fax_number": "973-625-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBELLI",
"first_name": "KEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA38394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.