Jorge H. Caceda, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DI 19375 Issued in NJ

Practice address

570 Georges Rd
North Brunswick, NJ 08902-2954

Phone

(732) 565-0511

Fax

(732) 565-0611

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912040718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022954",
            "telephone_number": "732-565-0511",
            "fax_number": "732-565-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022954",
            "telephone_number": "732-565-0511",
            "fax_number": "732-565-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACEDA",
        "first_name": "JORGE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI 19375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Laasia Bryant
• Alexa Burgess
• German Burgos
• C & M Health Services LLC (Health and Comfort Home Care Agency)
• Nicolas Cabrera
• Clare M Caldwell, NJ STATE CERTIFIEDMT
• Alice Camilletti, RN
• Retinella Alveta Campbell
• Carlos Canizares
• Christina Caporrino

• Pediatric Dentistry in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Pediatric Dentistry in New Jersey

• 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.
• 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.