Individual provider Active NPI

Robert Jon Gelman, D.D.S.

  • General Practice Dentistry
  • Camden, NJ
National Provider Identifier
1447248356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI14640 Issued in NJ
Practice address
639 Market St
Camden, NJ 08102-1103
Phone
(856) 964-0979
Fax
(856) 964-1937
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DI14640 NJ Primary

Addresses

Primary practice location

639 Market St
Camden, NJ 08102-1103

Mailing address

639 Market St
Camden, NJ 08102-1103
Phone (856) 964-0979

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
I20150420001437 NJ Order and Referring Only - DentistPractitioner - Dentist 4789902974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI14640NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gelman Dental Associates 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447248356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 MARKET ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021103",
            "telephone_number": "856-964-0979",
            "fax_number": "856-964-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MARKET ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021103",
            "telephone_number": "856-964-0979",
            "fax_number": "856-964-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN",
        "first_name": "ROBERT",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI14640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.