Maria Gabriela Caceres, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08387600 Issued in NJ

Practice address

7224 Bergenline Ave
North Bergen, NJ 07047-5417

Phone

(201) 869-4603

Fax

(201) 869-4605

NPI assigned

Jun 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• All 4 Kidz Pediatrics

  • Clinic/Center
  • North Bergen, NJ
  • NPI 1235613498
  NPD (past) Authorized official
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1730348129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475417",
            "telephone_number": "201-869-4603",
            "fax_number": "201-869-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475417",
            "telephone_number": "201-869-4603",
            "fax_number": "201-869-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08387600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172847",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Busacco, DC
• Mohammad Ushab Butt, MD
• Joseph Andre Buttigheri, DPM FACFAS
• Michelle Bychowsky, R.PH.
• Mark Anthony Cabrera, D.O.
• Johanna Calderon, FNP-C
• Nuria Julia Calvo Perez, FNP
• Evelyn Camacho-Patterson, MD
• Valon Camaj
• Jessica Rose Campisi, DO

• Pediatrics Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.

Verify at the official NPI Registry.