Active NPI
Louis John Celebre, MD
- Gastroenterology Physician
- Bloomfield, NJ
National Provider Identifier
1871688440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA48682
- Practice address
- 199 Broad Street
Suite 1a
Bloomfield, NJ 07003-2635 - Phone
- (973) 680-5500
- Fax
- (973) 680-5561
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MA48682 | NJ | Primary |
Addresses
Primary practice location
199 Broad Street
Suite 1a
Bloomfield, NJ 07003-2635
Mailing address
199 Broad Street
Suite 1a
Bloomfield, NJ 07003-2635
Phone (973) 680-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1835301 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA48682 | NJ | MD | Gastroenterology Physician |
Interoperability endpoints
- lcelebre188754@ahs.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Bloomfield, NJ
- NPI 1447497656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871688440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 BROAD STREET",
"address_2": "SUITE 1A",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032635",
"telephone_number": "973-680-5500",
"fax_number": "973-680-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 BROAD STREET",
"address_2": "SUITE 1A",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032635",
"telephone_number": "973-680-5500",
"fax_number": "973-680-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELEBRE",
"first_name": "LOUIS",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA48682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1835301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
- Mario Castellanos, LPC
- Donald M Castellaro, D.C.
- Connie Castro
- Natalie M Catalan
- Catalino L. Delacruz , Jr., MD PA
- Center for Family Support, New Jersey, Inc.
- Charles M Cummins OD PA (Visionworks Doctors of Optometry)
- Charles M. Cummins, OD., PA (EyeDRx)
- Chatty Sprouts Speech Therapy
- Maureen Regina Chauncey, PHD, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.