Individual provider Active NPI

Gregg M Cabalquinto, MT

  • Medical Technologist
  • Jersey City, NJ
National Provider Identifier
1629319603
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
009527 Issued in NY
Practice address
334 Winfield Ave # 2
Jersey City, NJ 07305-1745
Phone
(201) 451-9508
NPI assigned
Mar 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X 009527 NY Primary
Hematology Specialist/Technologist 246QH0000X 009527 NY
Chemistry Pathology Specialist/Technologist 246QC1000X 009527 NY

Addresses

Primary practice location

334 Winfield Ave # 2
Jersey City, NJ 07305-1745

Mailing address

334 Winfield Ave # 2
Jersey City, NJ 07305-1745
Phone (201) 451-9508

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
009527NYMDChemistry Pathology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1629319603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 WINFIELD AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051745",
            "telephone_number": "201-451-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 WINFIELD AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051745",
            "telephone_number": "201-451-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALQUINTO",
        "first_name": "GREGG",
        "middle_name": "M",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "009527",
            "primary": true
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": "NY",
            "license": "009527",
            "primary": false
        },
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "NY",
            "license": "009527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.