Individual provider Active NPI

Gina Cambareri, MD

  • Pediatric Urology Physician
  • Newark, NJ
National Provider Identifier
1952562019
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
25MA09767900 Issued in NJ
Practice address
201 Lyons Ave
L5
Newark, NJ 07112-2027
Phone
(973) 926-7280
NPI assigned
Jun 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 25MA09767900 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
L5
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
L5
Newark, NJ 07112-2027
Phone (973) 926-7280

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160111002075 NJ Practitioner - Urology 5496077265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Aug 1, 2020 Accepting new patients

Locations

101 Madison Ave
Morristown, NJ 07960
Phone (973) 267-9099

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

101 Madison Ave
Ste 305
Morristown, NJ 07960
Phone (973) 267-9099

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

11 Overlook Rd
Ste 230
Summit, NJ 07901
Phone (973) 971-4142

Interoperability endpoints

  • Direct secure messaging: gcambareri313264@direct.ahsys.org

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1952562019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBARERI",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-21",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "25MA09767900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.