Individual provider Active NPI

Manuel B. Cambeiro, D.D.S.

  • General Practice Dentistry
  • North Arlington, NJ
National Provider Identifier
1366506180
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 19577 Issued in NJ
Practice address
312 Belleville Tpke
Unit 2C
North Arlington, NJ 07031-6463
Phone
(201) 991-3773
Fax
(201) 991-3779
NPI assigned
Dec 19, 2006
Last updated
Nov 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 DI 19577 NJ Primary

Addresses

Primary practice location

312 Belleville Tpke
Unit 2C
North Arlington, NJ 07031-6463

Mailing address

312 Belleville Tpke
Unit 2C
North Arlington, NJ 07031-6463
Phone (201) 991-3773

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
I20160920000750 NJ Order and Referring Only - DentistPractitioner - Dentist 1759678709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 19577NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel B. Cambeiro, DDS, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1366506180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "UNIT 2C",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-991-3773",
            "fax_number": "201-991-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "UNIT 2C",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-991-3773",
            "fax_number": "201-991-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBEIRO",
        "first_name": "MANUEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 19577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

Verify at the official NPI Registry.