Individual provider Active NPI

Camilo Cabanero, M.D.

  • Anesthesiology Physician
  • Somerset, NJ
National Provider Identifier
1780649723
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA02858600 Issued in NJ
Practice address
285 Davidson Avenue
Acnj - Suite 204
Somerset, NJ 08876
Phone
(732) 271-1400
Fax
(732) 271-3543
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA02858600 NJ Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA02858600 NJ

Addresses

Primary practice location

285 Davidson Avenue
Acnj - Suite 204
Somerset, NJ 08876

Mailing address

1431 Washington Valley Rd
Bridgewater, NJ 08807-1436
Phone (908) 393-2728

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA02858600NJMDAnesthesiology Physician
25MA02858600NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banesthesia Consultants of New Jersey,L.L.C Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1780649723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WASHINGTON VALLEY RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071436",
            "telephone_number": "908-393-2728",
            "fax_number": "732-271-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVENUE",
            "address_2": "ACNJ - SUITE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANERO",
        "first_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA02858600",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA02858600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.