Active NPI
Abraham Beder, DDS
- Dentist
- Vineland, NJ
National Provider Identifier
1558489542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DT01865900
- Practice address
- 1077 E Chestnut Ave
Vineland, NJ 08360-5840 - Phone
- (856) 696-2299
- Fax
- (856) 696-2121
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 22DT01865900 | NJ | Primary |
Addresses
Primary practice location
1077 E Chestnut Ave
Vineland, NJ 08360-5840
Mailing address
1077 E Chestnut Ave
Vineland, NJ 08360-5840
Phone (856) 696-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20160311001813 | PA | Order and Referring Only - Oral Surgery | 9335445691 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DT01865900 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Periodontal Associates, P.a. | Dentist | Past | Accepting new patients |
| Amdent LTD | Dentist | 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.
-
- Dentist
- Vineland, NJ
- NPI 1518115377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558489542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605840",
"telephone_number": "856-696-2299",
"fax_number": "856-696-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605840",
"telephone_number": "856-696-2299",
"fax_number": "856-696-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDER",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DT01865900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.