Percival a Caballero MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA02992900 Issued in NJ

Legal business name

PERCIVAL A CABALLERO MD PA

Practice address

15 Kiel Ave
Suite 101
Kinnelon, NJ 07405-2565

Phone

(973) 492-2900

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Percival A Caballero, MD

Title

Owner

Phone

(973) 492-2900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1982921219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KIEL AVE",
            "address_2": "SUITE 101",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052565",
            "telephone_number": "973-492-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KIEL AVE",
            "address_2": "SUITE 101",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052565",
            "telephone_number": "973-492-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCIVAL A CABALLERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "PERCIVAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-492-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA02992900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Kinnelon, NJ
• Providers in Kinnelon, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.