Individual provider Active NPI

Maria Jovanna Garubba, DMD

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1376898130
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS039169 Issued in PA
Practice address
190 Brodhead Rd Ste 200
Bethlehem, PA 18017-8617
Phone
(610) 838-0131
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 DS039169 PA Primary

Addresses

Primary practice location

190 Brodhead Rd Ste 200
Bethlehem, PA 18017-8617

Mailing address

190 Brodhead Rd Ste 200
Bethlehem, PA 18017-8617
Phone (610) 735-8010

Other names 1

  • Maria Ferraro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131227001657 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698902302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039169PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Garubba DMD LLC CurrentSince May 19, 2024 Accepting new patients

Locations

190 Brodhead Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 353-6361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1376898130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178617",
            "telephone_number": "610-735-8010",
            "fax_number": "610-735-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178617",
            "telephone_number": "610-838-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARUBBA",
        "first_name": "MARIA",
        "middle_name": "JOVANNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "FERRARO",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.