Individual provider Active NPI

Ken Cubelli, M.D.

  • Orthopaedic Surgery Physician
  • Denville, NJ
National Provider Identifier
1346257581
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA38394 Issued in NJ
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

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000461 NJ Practitioner - Orthopedic Surgery 7810092491 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA38394NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
Advocare, LLC CurrentSince Aug 1, 2014 Accepting new patients
Advocare , LLC CurrentSince Aug 1, 2014 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Jan 1, 2019 Accepting new patients
Orthopaedic Surgery Center of Northwest Jersey, LLC PastSince Aug 20, 2009 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.