Active NPI
Estela Del Carmen Guerrero, D.D.S.
- Dentist
- Passaic, NJ
National Provider Identifier
1447457288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D102285700
- Practice address
- 218 Autumn St.
Second Floor
Passaic, NJ 07055 - Phone
- (973) 815-0053
- Fax
- (973) 815-0024
- NPI assigned
- Jun 27, 2007
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102285700 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | 051757-1 | NY |
Addresses
Primary practice location
218 Autumn St.
Second Floor
Passaic, NJ 07055
Mailing address
266 Fort Lee Rd
Teaneck, NJ 07666-3904
Phone (347) 465-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124001 | Medicaid | NJ |
Other names 1
- Dr. Estela Guerrero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102285700 | NJ | MD | Dentist |
| 051757-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passaic Family Dental L.L.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Passaic, NJ
- NPI 1659094878
-
- General Practice Dentistry
- Passaic, NJ
- NPI 1912176553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1447457288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 FORT LEE RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663904",
"telephone_number": "347-465-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 AUTUMN ST.",
"address_2": "SECOND FLOOR",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "07055",
"telephone_number": "973-815-0053",
"fax_number": "973-815-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "ESTELA",
"middle_name": "DEL CARMEN",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102285700",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051757-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ESTELA",
"last_name": "GUERRERO",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.