Individual provider Active NPI

John P Chibbaro, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Westwood, NJ
National Provider Identifier
1689776650
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8416 Issued in NJ
Practice address
333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200
Phone
(201) 664-2324
Fax
(201) 664-2358
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8416 NJ Primary

Addresses

Primary practice location

333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200

Mailing address

333 Old Hook Rd
Suite 100
Westwood, NJ 07675-3200
Phone (201) 664-2324

Other identifiers 2

IdentifierTypeStateIssuer
OK9957OtherNJACS HEALTHNET NORTHEAST
1078909MedicaidNJ

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

LicenseStateTypeSpecialty
8416NJMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689776650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-664-2324",
            "fax_number": "201-664-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-664-2324",
            "fax_number": "201-664-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBBARO",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "8416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET NORTHEAST",
            "identifier": "OK9957",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.