Individual provider Active NPI

Bernard Calem, DMD

  • Periodontics
  • Moorestown, NJ
National Provider Identifier
1992808547
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02086401 Issued in NJ
Practice address
285 S Church St
Suite 7
Moorestown, NJ 08057-2773
Phone
(856) 439-1200
Fax
(856) 439-1106
NPI assigned
Sep 7, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DI02086400 NJ
Periodontics 1223P0300X 22DI02086401 NJ Primary

Addresses

Primary practice location

285 S Church St
Suite 7
Moorestown, NJ 08057-2773

Mailing address

30 Jackson Rd Ste A5
Medford, NJ 08055-9279
Phone (609) 953-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 19, 2018 through Jul 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02086401NJMDPeriodontist
DI02086400NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mario J. Canal DMD, PC Periodontics Past Accepting new patients
Medford Periodontal Associates, LLC Periodontics PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1992808547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JACKSON RD STE A5",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559279",
            "telephone_number": "609-953-3700",
            "fax_number": "609-953-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST",
            "address_2": "SUITE 7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-439-1200",
            "fax_number": "856-439-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEM",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI02086400",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02086401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.