Emily Peterpaul, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

RESIDENT Issued in NJ

Practice address

1000 Atlantic Ave
Camden, NJ 08104-1132

Phone

(856) 246-3545

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Emily Peterpaul Gubitosi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 11, 2021 through May 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1609303585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DEBRA LN",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-246-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERPAUL",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "RESIDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GUBITOSI",
            "middle_name": "PETERPAUL",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Daniel Perry, MD
• Robin Perry, M.D.
• Priya Dharshni Perumalsamy, M.D.
• Richard Pescatore, D.O.
• Anu Peter, MD
• Alysia Peters, LCSW
• Patricia Petersen
• Shannon Peterson-Hoelter
• Jennifer F Peterson, LSW
• Lars-Kristofer Nelson Peterson, MD

• Dentist in Camden, NJ
• Providers in Camden, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.