Active NPI
Nabil Gerges
- Dentist
- Lodi, NJ
National Provider Identifier
1366639072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19418
- Practice address
- 167 Grove Street
Lodi, NJ 07644-3027 - Phone
- (973) 458-1156
- NPI assigned
- Sep 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19418 | NJ | Primary |
Addresses
Primary practice location
167 Grove Street
Lodi, NJ 07644-3027
Mailing address
167 Grove St
Lodi, NJ 07644-3027
Phone (973) 458-1156
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605002667 | NJ | Order and Referring Only - Dentist | 8527389212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19418 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1366639072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 GROVE ST",
"city": "LODI",
"state": "NJ",
"postal_code": "076443027",
"telephone_number": "973-458-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 GROVE STREET",
"city": "LODI",
"state": "NJ",
"postal_code": "076443027",
"telephone_number": "973-458-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERGES",
"first_name": "NABIL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "19418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.