Individual provider Active NPI

Kuber Nadig, DDS

  • Dentist
  • Moorestown, NJ
National Provider Identifier
1487423760
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03010000 Issued in NJ
Practice address
200 Marter Ave Ste 800
Moorestown, NJ 08057-3149
Phone
(856) 235-0905
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI03010000 NJ Primary

Addresses

Primary practice location

200 Marter Ave Ste 800
Moorestown, NJ 08057-3149

Mailing address

3248 Clarks Bridge Rd
Gainesville, GA 30506-3722
Phone (678) 653-5080

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI03010000NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Smiles Inc. CurrentSince Dec 31, 2023 Accepting new patients

Locations

200 Marter Ave
Ste 800
Moorestown, NJ 08057
Phone (856) 235-0905

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1487423760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 CLARKS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063722",
            "telephone_number": "678-653-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARTER AVE STE 800",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573149",
            "telephone_number": "856-235-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIG",
        "first_name": "KUBER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03010000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.